JUSTIN DAVID LOPEZ

TACOMA, WA
NPI1043075617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  0101287500)
Enumeration Date2024-02-13
Last Update Date2025-09-24
Business Address
JUSTIN DAVID LOPEZ MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1250
Mailing Address
JUSTIN DAVID LOPEZ MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1250