SearchArizona174400000X

Jim Loukola

NPI 1720225279 · on the registry since 2009 · sole proprietor

Practice

Address
20216 E. Conestogao Dr.
Mayer, AZ 86333
Phone
(928) 638-9192

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona