Individual
PEDRO JUAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 331-3340
(580) 331-3349
Mailing address
920 LANTERN LN, WEATHERFORD, OK 73096-5820
(580) 774-2835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11556
PR
Other
Enumeration date
06/23/2005
Last updated
11/15/2010
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