Individual
JOSEPH MARTIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8368
(970) 495-7492
Mailing address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8368
(970) 495-7492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25237
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
DR.0025237
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252378
—
CO
Enumeration date
06/14/2007
Last updated
03/22/2016
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