Individual
JAVIER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 GATOR BLVD, VIRGINIA BEACH, VA 23459-8950
(757) 763-2998
Mailing address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009296
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
11/14/2024
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