Individual
MR. ERIC NELSON LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
BLDG 50, FARENHOLT AVE, AGANA HEIGHTS, GU 96910
(671) 339-3168
Mailing address
788 HOLIDAY TOWER CONDO, ROUTE 4, APT 707, SINAJANA, GU 96910
(760) 480-4685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56031
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/03/2008
Last updated
03/18/2025
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