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1376597377
TIM R LOEWENSTEIN
MERIDIAN, ID
NPI
1376597377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID pa349)
Enumeration Date
2006-05-22
Last Update Date
2021-07-15
Business Address
TIM R LOEWENSTEIN PA
3280 E LANARK DR
MERIDIAN, ID 83642-5982
Phone number: 208-895-8670
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Mailing Address
TIM R LOEWENSTEIN PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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