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Individual
MR. MATTHEW JOSEPH LOPEZ
Active
Individual
MR. MATTHEW JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED STUDENT
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A148590
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2012
Last updated
06/19/2017
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