Individual
DR. JOHN M LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 LA CASA VIA, STE 204, WALNUT CREEK, CA 94598-3007
(925) 210-1050
(921) 210-1082
Mailing address
120 LA CASA VIA, STE 204, WALNUT CREEK, CA 94598-3007
(925) 210-1050
(921) 210-1082
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G29097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G290970
—
CA
Enumeration date
06/30/2005
Last updated
07/28/2010
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