Individual
DR. JAY PATRICK LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21632 HIGHWAY 99, EDMONDS, WA 98026-8032
(425) 775-1677
(425) 778-1635
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD60875633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164788444
—
WA
Enumeration date
04/11/2012
Last updated
09/27/2018
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