Provider Demographics
NPI:1518030808
Name:LOYD, TED R (SA-C)
Entity Type:Individual
Prefix:MR
First Name:TED
Middle Name:R
Last Name:LOYD
Suffix:
Gender:M
Credentials:SA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1287
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-1287
Mailing Address - Country:US
Mailing Address - Phone:307-883-4569
Mailing Address - Fax:307-883-4568
Practice Address - Street 1:502 BUFFALO DR.
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:WY
Practice Address - Zip Code:83128-3109
Practice Address - Country:US
Practice Address - Phone:307-883-4569
Practice Address - Fax:307-883-4568
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist