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Organization

ARIZONA ENDOSCOPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE LOPEZ GONZALEZ MD (PROPRIETOR)
(480) 393-0575
Entity
Organization

Contact information

Practice address
1810 S CRISMON RD, #191, MESA, AZ 85209-3717
(480) 393-0575
(480) 704-4019
Mailing address
1810 S CRISMON RD, #191, MESA, AZ 85209-3717
(480) 393-0575
(480) 704-4019

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17667
AZ

Other

Enumeration date
04/29/2015
Last updated
04/29/2015
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