Misty Renee Lopez, PA-C

NPI #1164513883 in Ozark, Missouri

Provider Information

NPI Number: 1164513883
Entity Type: Individual
Name: Misty Renee Lopez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 27, 2006
Last Updated: Apr 18, 2022

Practice Location

Address: 5100 N TOWNE CENTRE DR
City: Ozark
State: Missouri
ZIP Code: 65721-7479
Phone: (417) 269-2215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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