IndividualActive
Justin Loder, PA-C
NPI 1164808598 · Physician Assistant · Agana Heights, GU
Provider details
- NPI number
- 1164808598
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
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
Registry dates
- Enumerated
- 2015-08-07
- Last updated
- 2023-09-14
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.