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Individual
EDGARDO OLVERA LOPEZ
Active
Individual
EDGARDO OLVERA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0443450
KS
207R00000X
Internal Medicine Physician
102136
GA
208M00000X
Hospitalist Physician
Primary
0443450
KS
208M00000X
Hospitalist Physician
102136
GA
Other
Enumeration date
06/27/2017
Last updated
12/15/2024
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