Mark Anthony Lopez DO

NPI 1619147220 - Internal Medicine - 207R00000X

NPI Details
NPI 1619147220
Gender Male
Enumeration Date 03/11/2008
Last Updated 03/05/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
4700 LAS VEGAS BLVD N
LAS VEGAS NV, 89191-6600, US
Phone (702) 653-3251
Fax (702) 653-3253
Business Location
4700 LAS VEGAS BLVD N
LAS VEGAS NV, 89191-6600, US
Phone (702) 653-3251
Fax (702) 653-3253
Toxanomy
Taxonomy Code 207R00000X
License State Nevada
License Number SL0514
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According to our database, Mark Anthony Lopez DO NPI is 1619147220, taxonomy code is 207R00000X and license number is SL0514, license state is located at Nevada. Mark Anthony Lopez DO physically located at 4700 Las Vegas Blvd N, Las Vegas NV, 89191-6600. NPI Number Mark Anthony Lopez DO has the Individual type.

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1619147220 NPI number is provided on an as is basis without warranty of any kind. 1619147220 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Anthony Lopez DO are for informational purposes only.