Individual
RICHARD ANTONIO NUNEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N RITTER AVE STE 375, INDIANAPOLIS, IN 46219-3049
(317) 355-9370
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01085414A
IN
207RP1001X
Pulmonary Disease Physician
65329-20
WI
208D00000X
General Practice Physician
125.059051
IL
Other
Enumeration date
07/29/2011
Last updated
06/04/2021
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