Individual
GEORGE A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-2800
(206) 320-2827
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
MD61023900
WA
2084N0400X
Neurology Physician
MD61023900
WA
2084V0102X
Vascular Neurology Physician
MD61023900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578588752
—
WA
Enumeration date
07/12/2006
Last updated
05/20/2021
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