Individual
EDWARD M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 E ORMAN AVE, SUITE A235, PUEBLO, CO 81004-3537
(719) 557-3616
(719) 557-3690
Mailing address
1000 LINCOLN ST, SUITE 208, FORT MORGAN, CO 80701-3290
(970) 542-4371
(970) 542-4373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26672
CO
Other
Enumeration date
03/17/2006
Last updated
10/06/2011
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