Individual
DR. ALEJANDRO EMILIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 W THOMAS RD, PHOENIX, AZ 85015-6101
(602) 283-5732
(602) 314-4579
Mailing address
1514 W THOMAS RD, PHOENIX, AZ 85015-6101
(602) 283-5732
(602) 314-4579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48376
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870709
—
AZ
Enumeration date
07/31/2012
Last updated
10/23/2017
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