Individual
RICARDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 743-5855
Mailing address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 743-5855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01326248
—
CO
01
—
014744
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
11/21/2007
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