Evan Loomis PA-C

NPI 1265711550 - Physician Assistant - 363AM0700X

NPI Details
NPI 1265711550
Gender Male
Enumeration Date 08/04/2011
Last Updated 07/23/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
2180 MAIN ST
WAILUKU HI, 96793-1625, US
Phone (808) 242-6464
Fax (808) 424-4209
Business Location
2180 MAIN ST
WAILUKU HI, 96793-1625, US
Taxonomy Code 363AM0700X
License State Alaska
License Number 2143
Remove 1265711550 NPI Number

According to our database, Evan Loomis PA-C NPI is 1265711550, taxonomy code is 363AM0700X and license number is 2143, license state is located at Alaska. Evan Loomis PA-C physically located at 2180 Main St, Wailuku HI, 96793-1625. NPI Number Evan Loomis PA-C has the Individual type.

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1265711550 NPI number is provided on an as is basis without warranty of any kind. 1265711550 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Loomis PA-C are for informational purposes only.