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Mr. Abraham Dagoberto Lopez JR., PA
Physician Assistant in Phoenix, Arizona
NPI 1073599619

Abraham Dagoberto Lopez JR. is a Physician Assistant based in Glendale, AZ. Abraham Dagoberto Lopez JR. practices in Phoenix, AZ and has the professional credentials of PA. The NPI Number for Abraham Dagoberto Lopez JR. is 1073599619 and holds a License No. 2816 (Arizona).

The current practice location address for Abraham Dagoberto Lopez JR. is 5102 W Campbell Ave, Phoenix, AZ and can be reached out via phone at 623-848-5000.

Location: 5102 W Campbell Ave, Phoenix, AZ, 85304-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073599619
Provider Name
Abraham Dagoberto Lopez JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5102 W Campbell Ave, Phoenix, AZ, 85304-3027
Phone Number
623-848-5000
Fax Number
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
817827 05 AZ
860373636 01 AZ HUMANA-GROUP #
453051001 01 AZ GROUP HEALTH GROUP
3987220 01 AZ EYECARE
AW1436 01 AZ HEALTHNET GROUP
institution
Provider Business Practice Location Address Details
Address
5102 W Campbell Ave
City
Phoenix
State
Arizona
Zip
85031-1703
Phone Number
623-848-5000
Fax Number
person
Provider Business Mailing Address Details
Address
5102 W Campbell Ave
City
Phoenix
State
Arizona
Zip
85031-1703
Phone Number
623-848-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
2816 (Arizona)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2816 (Arizona)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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