Search › Idaho › 374U00000X
Jonathan Loosle
NPI 1629317078 · on the registry since 2013
Practice
- Address
- 1472 E Iron Eagle Dr
Eagle, ID 83616 - Phone
- (208) 577-1188
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2013-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho