Healthcare Provider Details

I. General information

NPI: 1063973980
Provider Name (Legal Business Name): THOMAS JOSEPH LOSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E MCDOWELL RD
PHOENIX AZ
85006-2502
US

IV. Provider business mailing address

925 E MCDOWELL RD
PHOENIX AZ
85006-2502
US

V. Phone/Fax

Practice location:
  • Phone: 480-256-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301506275
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: