Abraham Dagoberto Lopez in Phoenix - Physician Assistant
Abraham Dagoberto Lopez - NPI 1073599619
Abraham Dagoberto Lopez is a Physician Assistant in Phoenix, Arizona. Abraham Dagoberto Lopez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Abraham Dagoberto Lopez is 1073599619. The last update date is 2020-12-22.
Abraham Dagoberto Lopez's current location address is 5102 W Campbell Ave, Phoenix, Arizona. You can contact this provider via phone number 6238485000. The mailing address for Abraham Dagoberto Lopez is 5102 W Campbell Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abraham Dagoberto Lopez |
|---|---|
| Address | 5102 W Campbell Ave, Phoenix, Arizona |
| Phone Number | 6238485000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1073599619 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2020-12-22 |
Provider Mailing Address Detail
| Address | 5102 W Campbell Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850311703 |
| Phone Number | 6238485000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2816 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 817827 | AZ | -- | |
| 860373636 | AZ | HUMANA-GROUP # | |
| 453051001 | AZ | GROUP HEALTH GROUP | |
| 3987220 | AZ | EYECARE | |
| AW1436 | AZ | HEALTHNET GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Abraham Dagoberto Lopez?
The Abraham Dagoberto Lopez has been issued the NPI (National Provider Identifier) 1073599619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Abraham Dagoberto Lopez?
The Abraham Dagoberto Lopez is situated at 5102 W Campbell Ave, in the city of Phoenix, state of AZ, with the zip code 850311703.
What is Abraham Dagoberto Lopez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Abraham Dagoberto Lopez's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Abraham Dagoberto Lopez receive its 1073599619 assignment from the Centers for Medicare & Medicaid Services?
The Abraham Dagoberto Lopez was assigned its 1073599619 by the Centers for Medicare & Medicaid Services on 2005-12-15.
When was the information regarding Abraham Dagoberto Lopez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Abraham Dagoberto Lopez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-22.
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