Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ABRAHAM DAGOBERTO LOPEZ JR., PA
Active Sole ProprietorMR. ABRAHAM DAGOBERTO LOPEZ JR., PA is a Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1073599619 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PHOENIX, AZ
Registration Details
- NPI Number
- 1073599619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2005 (20.666068683172 yrs)
- Last Updated
- Dec 22, 2020
- Licenses
-
2816 (AZ)2816 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5102 W CAMPBELL AVEPHOENIX, AZ, 850311703Browse AZ providers · Browse ZIP 85031
- Phone
- 6238485000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| JEANNETTE VAUGHN-DOTTERER | DMSC, PA-C | 1407859416 |
| MICHAEL D RICHARDS | PA | 1306840707 |
| LINDSEY A STEBER | PA-C | 1568468114 |
| DEBORAH JOYCE LADER | P.A.-C. | 1720086994 |
| DONDII DELGADO | PA-C | 1033119532 |
| DEANNA SINGER | P.A.-C | 1467452508 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.