Individual
DR. SETH LOOFBOURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5457
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
O-1677
ID
390200000X
Student in an Organized Health Care Education/Training Program
OT018694
PA
Other
Enumeration date
06/17/2018
Last updated
06/27/2022
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