Individual
JOHN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5652 E BASELINE RD, MESA, AZ 85206-4713
(480) 567-0350
Mailing address
8102 E CYPRESS ST, SCOTTSDALE, AZ 85257-2815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
010528
AZ
208100000X
Physical Medicine & Rehabilitation Physician
25MB11177300
NJ
Other
Enumeration date
03/24/2016
Last updated
12/21/2023
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