Individual
DR. ALAN J LOENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2000 CLARK ST, MILES CITY, MT 59301
(406) 232-3456
(406) 232-3538
Mailing address
PO BOX 607, MILES CITY, MT 59301-0607
(406) 232-3456
(406) 232-3538
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
130
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000390201
—
MT
01
—
480022463
RR MEDICARE
—
Enumeration date
01/17/2007
Last updated
12/12/2011
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