Individual
RAPHAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3601 5TH AVE STE 3B, PITTSBURGH, PA 15213-3403
(412) 647-2345
Mailing address
3601 5TH AVE STE 3B, PITTSBURGH, PA 15213-3403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA007286
PA
363AM0700X
Medical Physician Assistant
Primary
C0009667
MD
363AM0700X
Medical Physician Assistant
MA066674
PA
Other
Enumeration date
11/11/2024
Last updated
09/09/2025
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