BLAKE FAIRCHILD LOPEZ

BIRMINGHAM, AL
NPI1902519994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  2093)
Enumeration Date2023-01-04
Last Update Date2024-11-19
Business Address
BLAKE FAIRCHILD LOPEZ PA
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 256-328-9934
Mailing Address
BLAKE FAIRCHILD LOPEZ PA
4781 LONGMEADOW DR
BESSEMER, AL 35022-7015
Phone number: 256-328-9934
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