Glenda Lopez-Blaza Md, LLC

NPI #1033162169 in Dayton, Ohio

Provider Information

NPI Number: 1033162169
Entity Type: Organization
Organization Name: Glenda Lopez-Blaza Md, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 18, 2006
Last Updated: Jun 20, 2011

Practice Location

Address: 8710 N DIXIE DR
City: Dayton
State: Ohio
ZIP Code: 45414-2406
Phone: (937) 415-0501

Authorized Official

Name: GLENDA JOY LOPEZ-BLAZA, MD
Title: OWNER
Phone: (937) 415-0501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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