Provider Demographics
NPI:1083865034
Name:LOUGH, DONALD RAY (CST/CFA)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:RAY
Last Name:LOUGH
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Gender:M
Credentials:CST/CFA
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Mailing Address - Street 1:6951 W 87TH WAY APT 285
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1087
Mailing Address - Country:US
Mailing Address - Phone:303-432-7340
Mailing Address - Fax:303-430-3186
Practice Address - Street 1:6951 W 87TH WAY APT 285
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1087
Practice Address - Country:US
Practice Address - Phone:303-432-7340
Practice Address - Fax:303-430-3186
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical