Individual
MARK ANTHONY LOPEZ
Active
Individual
MARK ANTHONY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SL0514
NV
Other
Enumeration date
03/11/2008
Last updated
10/28/2020
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