Individual
JORGE LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3029 W CORIANDER DR, TUCSON, AZ 85741-3659
(520) 499-8416
Mailing address
3029 W CORIANDER DR, TUCSON, AZ 85741-3659
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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