Juan Manuel Lopez MD

NPI 1053473504 - Plastic Surgery - 208200000X

NPI Details
NPI 1053473504
Gender Male
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
300 W HOSPITAL RD
FORT GORDON GA, 30905-5741, US
Phone (706) 787-1164
Fax (706) 787-2597
Business Location
300 W HOSPITAL RD
FORT GORDON GA, 30905-5741, US
Phone (706) 787-1164
Fax (706) 787-2597
Toxanomy
Taxonomy Code 208200000X
License State Florida
License Number ME 74668
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According to our database, Dr. Juan Manuel Lopez MD NPI is 1053473504, taxonomy code is 208200000X and license number is ME 74668, license state is located at Florida. Juan Manuel Lopez MD physically located at 300 W Hospital Rd, Fort Gordon GA, 30905-5741. NPI Number Juan Manuel Lopez MD has the Individual type.

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1053473504 NPI number is provided on an as is basis without warranty of any kind. 1053473504 is maintained by the National Plan & Provider Enumeration System. The contents of Juan Manuel Lopez MD are for informational purposes only.