Individual
DR. LUIS ANTONIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10240 W INDIAN SCHOOL RD STE 155, PHOENIX, AZ 85037-5909
(623) 385-7900
Mailing address
280 ST HERMINIO ORTIZ, YAUCO, PR 00698
(787) 508-3830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10193
AZ
Other
Enumeration date
05/24/2022
Last updated
09/24/2024
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