Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEMMA JUSTICE LOPEZ, PA-C
ActivePain Medicine (PM&R) · SAN TAN VALLEY, AZ
Registration Details
- NPI Number
- 1932683919
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2018 (7.5914739955797 yrs)
- Last Updated
- Jan 28, 2021
- License
-
7208 (AZ)
Practice Information
- Address
-
36453 N GANTZEL RD STE 101SAN TAN VALLEY, AZ, 851407340Browse AZ providers · Browse ZIP 85140
- Phone
- 4806361225
- Fax
- 4806368890
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
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.