SearchArizona363AM0700X

Gabriel Lopez

NPI 1659846988 · on the registry since 2018 · sole proprietor

Practice

Address
7419 W Planada Ln
Glendale, AZ 85310
Phone
(602) 571-3364

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
390200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona