Individual
MARVIN J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7661 BEECHMONT AVE STE 120, CINCINNATI, OH 45255-4234
(513) 231-9010
(513) 231-9706
Mailing address
PO BOX 632958, CINCINNATI, OH 45263-2958
(513) 451-9698
(513) 451-9699
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-080983
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100017243
RAILROAD MEDICARE
OH
05
—
2320447
—
OH
Enumeration date
06/13/2005
Last updated
03/29/2024
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