Miguel Ortiz Lopez, PA
NPI #1558327437 in Fort Irwin, California
Provider Information
- NPI Number
- 1558327437
- Entity Type
- Individual
- Name
- Miguel Ortiz Lopez, PA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Apr 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- BLDG 166
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310
- Phone
- (760) 380-6862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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