DR. Gregory D Loose, OD

NPI #1013096825 in Wiggins, Mississippi

Provider Information

NPI Number: 1013096825
Entity Type: Individual
Name: DR. Gregory D Loose, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 3, 2006
Last Updated: Feb 26, 2008

Practice Location

Address: 1113 CENTRAL AVE E
City: Wiggins
State: Mississippi
ZIP Code: 39577-9605
Phone: (601) 928-3914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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