Individual
DR. LUIS RAUL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3330N 2ND ST 400, PHOENIX, AZ 85012-2371
(602) 631-9873
Mailing address
3330N 2ND ST 400, PHOENIX, AZ 85012-2371
(602) 631-9873
(602) 631-4093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12246
AZ
Other
Enumeration date
01/11/2007
Last updated
10/08/2015
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