Individual
JESSE G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
(602) 200-9021
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
(614) 544-6366
(614) 544-6350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35086107
OH
207L00000X
Anesthesiology Physician
Primary
64389
AZ
Other
Enumeration date
10/21/2005
Last updated
08/18/2021
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