RICARDO LOPEZ

MESA, AZ
NPI1720739568
Professional NameN/A N/A N/A
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9526)
Enumeration Date2022-01-13
Last Update Date2024-01-20
Business Address
RICARDO LOPEZ PA
550 W BASELINE RD STE 102-435
MESA, AZ 85210-6040
Phone number: 323-487-3202
Mailing Address
RICARDO LOPEZ PA
550 W BASELINE RD STE 102-435
MESA, AZ 85210-6040
Phone number: 323-487-3202
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