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NPI Code Detail

MEDICARE: DR. WILLIAM ROBERT LOOMIS DO

MEDICARE: DR. WILLIAM ROBERT LOOMIS DO
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
1204D00000XNeuromusculoskeletal Medicine & OMM PhysicianOP00000894WA

General Provider Information

NPI Number : 1285645523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM ROBERT LOOMIS DO
Provider Business Mailing Address
First Line : 111 E CENTRAL AVE
Second Line : STE B
City : SPOKANE
State : WA
Zip : 99208-1108
Country : US
Telephone Number : 509-487-1500
Fax Number : 509-487-1535
Provider Business Practice Location Address
First Line : 111 E CENTRAL AVE
Second Line : STE B
City : SPOKANE
State : WA
Zip : 99208-1108
Country : US
Telephone Number : 509-487-1500
Fax Number : 509-487-1535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM ROBERT LOOMIS DO” Practice Location

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