Individual
FIDEL LOPEZ VERDUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3B324, SALT LAKE CITY, UT 84132-0002
(801) 581-6803
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1027256
MA
208600000X
Surgery Physician
Primary
13000107-1205
UT
Other
Enumeration date
03/30/2021
Last updated
07/17/2026
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