Augusto Loaiza MD

NPI 1174654412 - Optometrist - 152W00000X

NPI Details
NPI 1174654412
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5301 HIGHWAY 153
HIXSON TN, 37343-4912, US
Phone (423) 870-3314
Fax (423) 875-9952
Business Location
5301 HIGHWAY 153
HIXSON TN, 37343-4912, US
Phone (423) 870-3314
Fax (423) 875-9952
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number 19862
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According to our database, Augusto Loaiza MD NPI is 1174654412, taxonomy code is 152W00000X and license number is 19862, license state is located at Tennessee. Augusto Loaiza MD physically located at 5301 Highway 153, Hixson TN, 37343-4912. NPI Number Augusto Loaiza MD has the Individual type.

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1174654412 NPI number is provided on an as is basis without warranty of any kind. 1174654412 is maintained by the National Plan & Provider Enumeration System. The contents of Augusto Loaiza MD are for informational purposes only.