Individual
DR. CARLOS JAVIER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 W THOMAS RD, 2ND FLOOR, PHOENIX, AZ 85013-4240
(602) 264-3133
(602) 252-2644
Mailing address
521 W THOMAS RD, 2ND FLOOR, PHOENIX, AZ 85013-4240
(602) 254-0390
(800) 846-8757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27821
AZ
208000000X
Pediatrics Physician
27821
AZ
Other
Enumeration date
07/11/2005
Last updated
08/15/2023
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