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
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860
- Phone
- (808) 471-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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