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NPI Code Detail

MEDICARE: TODD LOONEY MD

MEDICARE: TODD LOONEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician2023-00316NC
2207RI0011XInterventional Cardiology Physician2023-00316NC
3207R00000XInternal Medicine Physician0101263447VA

General Provider Information

NPI Number : 1124481858
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD LOONEY MD
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8707
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 03/09/2026

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