Individual
KARIN MONTIEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15235 N DYSART RD STE 103, EL MIRAGE, AZ 85335-7801
(602) 569-3999
(623) 215-7161
Mailing address
15235 N DYSART RD, EL MIRAGE, AZ 85335-7800
(602) 569-3999
(623) 215-7161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
Primary
11437
AZ
Other
Enumeration date
06/04/2024
Last updated
02/14/2026
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