person
Tim R Loewenstein, PA
Medical Physician Assistant in Meridian, Idaho
NPI 1376597377

Tim R Loewenstein is a Medical Physician Assistant based in Boise, ID and is specialized in Medical. Tim R Loewenstein practices in Meridian, ID and has the professional credentials of PA. The NPI Number for Tim R Loewenstein is 1376597377 and holds a License No. PA349 (Idaho).

The current practice location address for Tim R Loewenstein is 3280 E Lanark Dr, Meridian, ID and can be reached out via phone at 208-895-8670 and via fax at 208-955-0494.

Location: 3280 E Lanark Dr, Meridian, ID, 83719-1050
person
Provider Profile Details
NPI Number
1376597377
Provider Name
Tim R Loewenstein
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3280 E Lanark Dr, Meridian, ID, 83719-1050
Phone Number
208-895-8670
Fax Number
208-955-0494
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806033700 05 ID
institution
Provider Business Practice Location Address Details
Address
3280 E Lanark Dr
City
State
Zip
83642-5982
Phone Number
208-895-8670
Fax Number
208-955-0494
person
Provider Business Mailing Address Details
Address
3280 E Lanark Dr
City
State
Zip
83642-5982
Phone Number
208-895-8670
Fax Number
208-955-0494
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA349 (Idaho)
Definition
Definition to come...
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