Individual
DR. MELVIN MANUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12555 WOODVIEW CT, PLATTE CITY, MO 64079-7309
(816) 431-9060
Mailing address
12555 WOODVIEW COURT, PLATTE CITY, MO 64079-7309
(816) 431-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2001009691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593343
—
IA
Enumeration date
04/11/2006
Last updated
09/19/2008
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