MR. Abraham Dagoberto Lopez JR., PA

NPI #1073599619 in Phoenix, Arizona

Provider Information

NPI Number: 1073599619
Entity Type: Individual
Name: MR. Abraham Dagoberto Lopez JR., PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 15, 2005
Last Updated: Dec 22, 2020

Practice Location

Address: 5102 W CAMPBELL AVE
City: Phoenix
State: Arizona
ZIP Code: 85031-1703
Phone: (623) 848-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Physician Assistant	363A00000X	Primary

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