Organization
ABCORE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN JOSE LOPEZ FNP (MANAGER)
(623) 210-1584
Entity
Organization
Contact information
Practice address
2023 W BETHANY HOME RD, PHOENIX, AZ 85015-2444
(623) 210-1584
(602) 358-7649
Mailing address
2023 W BETHANY HOME RD, PHOENIX, AZ 85015-2444
(623) 210-1584
(602) 358-7649
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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