NPI 1164808598

Justin Michael Loder, PAC

Practitioner Physician Assistant Agana Heights, GU

Practice location

Address: U.S. Naval Hospital Guam Farenholt Ave, Bldg 50, Agana Heights, GU 96910
Phone: (671) 344-9315
Mailing address: 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1164808598
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2015
Record last updated: 14 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.