Individual
ANGEL EDGARDO PARRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19408 N 14TH DR, PHOENIX, AZ 85027-4605
(602) 403-0451
Mailing address
19408 N 14TH DR, PHOENIX, AZ 85027-4605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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