Individual
MR. JESUS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
1461 ARCHMORE LOOP, SPRINGVILLE, UT 84663
(323) 286-5703
Mailing address
2279 N UNIVERSITY PKWY # 113, PROVO, UT 84604-1543
(323) 286-5703
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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