Individual
DR. ANTHONY WILLIAM LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15007 CREOSOTE RD STE A, GULFPORT, MS 39503-4392
(228) 533-2733
Mailing address
310 W OLD PASS RD, LONG BEACH, MS 39560-4528
(601) 870-0732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1287
MS
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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