Individual
TOBIAS M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4327 N ASH ST, SPOKANE, WA 99205-1411
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60602551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346933
L&I
—
05
—
1760736177
—
WA
Enumeration date
11/07/2012
Last updated
09/04/2024
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