Individual
ANNA C LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1024 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-4215
(757) 410-4488
(757) 410-4450
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101249277
VA
207Q00000X
Family Medicine Physician
MD21981
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80179579
RR MEDICARE
OR
Enumeration date
06/30/2006
Last updated
11/06/2024
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