| Michael D. Loughner, M.d., P.c. | |
|
850 E Harvard Ave Suite 405 Denver CO 80210-5073 | |
| (303) 722-4683 | |
| (303) 778-0726 |
| Full Name | Michael D. Loughner, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 850 E Harvard Ave, Denver, Colorado |
| Authorized Official Name and Position | Michael D. Loughner (PRESIDENT) |
| Authorized Official Contact | 3037224683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Loughner, M.d., P.c. 850 E Harvard Ave Suite 405 Denver CO 80210-5073 Ph: (303) 722-4683 | Michael D. Loughner, M.d., P.c. 850 E Harvard Ave Suite 405 Denver CO 80210-5073 Ph: (303) 722-4683 |
| NPI Number | 1336378025 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 07/02/2009 |
| Medicare PECOS PAC ID | 5496808982 |
|---|---|
| Medicare Enrollment ID | O20090731000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336378025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 44334 (Colorado) | Primary |
| Provider Name | Michael D Loughner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639216906 PECOS PAC ID: 6608929195 Enrollment ID: I20090730000611 |
| Provider Name | Kenneth D Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548586050 PECOS PAC ID: 9638312580 Enrollment ID: I20130826000581 |
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