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Individual

MATTHEW JAMES LOEWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-1000
(602) 570-2698
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0369

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2020-04471
NC
2085R0202X
Diagnostic Radiology Physician
OP61330164
WA
208D00000X
General Practice Physician
1618
NE

Other

Enumeration date
03/26/2015
Last updated
08/30/2024
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