Individual
DR. TIMOTHY M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Mailing address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
90-72
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900003136
RAILROAD MEDICARE
—
Enumeration date
07/14/2005
Last updated
06/02/2015
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