person
Mr. Bryan Lopez, IDC
Military Health Care Provider in Fpo, N/A
NPI 1215306675

Bryan Lopez is a Military Health Care Provider based in Fpo, . Bryan Lopez practices in Fpo, and has the professional credentials of IDC. The NPI Number for Bryan Lopez is 1215306675 and holds a License No. (N/A).

The current practice location address for Bryan Lopez is Psc 455 Box 182, Fpo, and can be reached out via phone at 671-339-6287.

Location: Psc 455 Box 182, Fpo, , 96540-1182
person
Provider Profile Details
NPI Number
1215306675
Provider Name
Bryan Lopez
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
Psc 455 Box 182, Fpo, , 96540-1182
Phone Number
671-339-6287
Fax Number
Provider Enumeration Date
09/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Psc 455 Box 182
City
Fpo
State
Zip
96540-1182
Phone Number
671-339-6287
Fax Number
person
Provider Business Mailing Address Details
Address
Psc 455 Box 182
City
Fpo
State
Zip
96540-1182
Phone Number
671-339-6287
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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