Individual
STEPHEN A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 341-0860
Mailing address
1100 9TH AVE, MS M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60212084
WA
208M00000X
Hospitalist Physician
Primary
MD60212084
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003076332
IDAHO MEDICAID
WA
05
—
1003076332
—
WA
01
—
P01038749
RAILROAD MEDICARE
WA
Enumeration date
06/10/2008
Last updated
04/05/2021
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