JUSTIN MICHAEL LODER

AGANA HEIGHTS, GU
NPI1164808598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-08-07
Last Update Date2023-09-14
Business Address
JUSTIN MICHAEL LODER PA-C
U.S. NAVAL HOSPITAL GUAM FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Phone number: 671-344-9315
Mailing Address
JUSTIN MICHAEL LODER PA-C
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511-2802
Phone number: