Individual
DR. RICHARD MARK LOOMIS
Active
Individual
DR. RICHARD MARK LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
236752
MA
207L00000X
Anesthesiology Physician
BP10029238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4656869634
MYUTMB 4656869634
—
Enumeration date
08/05/2007
Last updated
10/01/2008
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