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Organization

JOSEPH M LOPEZ MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH M LOPEZ MD (PRESIDENT)
(970) 221-5925
Entity
Organization

Contact information

Practice address
1136 E STUART ST, SUITE 4202, FT COLLINS, CO 80525
(970) 221-5925
(970) 221-5012
Mailing address
1136 E STUART ST, SUITE 4202, FT COLLINS, CO 80525
(970) 221-5925
(970) 221-5012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004586257
AETNA
01
000585011
APWU HEALTH PLAN
01
010011909
RAILROAD MEDICARE
CO
05
01252378
CO
01
0135688
MAIL HANDLERS BENEFIT PLA
01
120085BF
PREFERRED ADMINISTRATIVE
01
33143
ANTHEM BC BS
01
55181
FEDERA BC BS
01
C09900002163
SIERRA HEALTH & LIFE
01
PR32757550001
CIGNA HEALTHCARE
Enumeration date
10/03/2006
Last updated
09/18/2008
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