Reid Wayne Lofgran DO

NPI 1144321753 - Family Medicine - 207Q00000X

NPI Details
NPI 1144321753
Gender Male
Enumeration Date 09/26/2006
Last Updated 03/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
267 N CANYON DR
GOODING ID, 83330-5500, US
Phone (208) 934-4433
Fax (208) 934-4442
Business Location
134 W 4TH AVE
267 NORTH CANYON DR
GOODING ID, 83330-1248, US
Phone (208) 934-4446
Fax (208) 934-4442
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number 255
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According to our database, Reid Wayne Lofgran DO NPI is 1144321753, taxonomy code is 207Q00000X and license number is 255, license state is located at Idaho. Reid Wayne Lofgran DO physically located at 267 N Canyon Dr, Gooding ID, 83330-5500. NPI Number Reid Wayne Lofgran DO has the Individual type.

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1144321753 NPI number is provided on an as is basis without warranty of any kind. 1144321753 is maintained by the National Plan & Provider Enumeration System. The contents of Reid Wayne Lofgran DO are for informational purposes only.