MIGUEL ORTIZ LOPEZ

FORT IRWIN, CA
NPI1558327437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  1032764)
Enumeration Date2006-04-21
Last Update Date2007-07-08
Business Address
-- MIGUEL ORTIZ LOPEZ PA
BLDG 166
FORT IRWIN, CA 92310
Phone number: 760-380-6862
Mailing Address
-- MIGUEL ORTIZ LOPEZ PA
8116 SALERNO DR. A
FORT IRWIN, CA 92310
Phone number: 760-447-8497
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