Jose Israel Lopez, IDC

NPI #1922349968 in Pearl Harbor, Hawaii

Provider Information

NPI Number
1922349968
Entity Type
Individual
Name
Jose Israel Lopez, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Mar 14, 2013
Last Updated
Mar 14, 2013

Practice Location

Address
MDSU-1 BISHOP POINT
Address 2
BUILDING 17
State
Hawaii
ZIP Code
96860
Phone
(808) 471-9292

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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