JORGE LUIS LOPEZ

FORT CARSON, CO
NPI1104952209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Mr. JORGE LUIS LOPEZ PA
1650 COCHRANE CIR ATTN CREDENTIALS OFFICE
FORT CARSON, CO 80913-4603
Phone number: 719-526-7844
Mailing Address
Mr. JORGE LUIS LOPEZ PA
EVANS ARMY COMMUNITY HOSPITAL (EACH) USA MEDDAC 1650 COCHRANE CIRCLE, ATTN CREDENTIALS OFFICE
COLORADO SPINGS, CO 80913-4604
Phone number: 719-526-7844
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