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Mr. Gabriel Thomas Lopez
Medical Physician Assistant in Glendale, Arizona
NPI 1659846988

Gabriel Thomas Lopez is a Medical Physician Assistant based in Glendale, AZ and is specialized in Medical. Gabriel Thomas Lopez practices in Glendale, AZ. The NPI Number for Gabriel Thomas Lopez is 1659846988 and holds a License No. (Arizona).

The current practice location address for Gabriel Thomas Lopez is 7419 W Planada Ln, Glendale, AZ and can be reached out via phone at 602-571-3364.

Location: 7419 W Planada Ln, Glendale, AZ, 85310-5886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659846988
Provider Name
Gabriel Thomas Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
7419 W Planada Ln, Glendale, AZ, 85310-5886
Phone Number
602-571-3364
Fax Number
Provider Enumeration Date
10/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7419 W Planada Ln
City
Glendale
State
Arizona
Zip
85310-5886
Phone Number
602-571-3364
Fax Number
person
Provider Business Mailing Address Details
Address
7419 W Planada Ln
City
Glendale
State
Arizona
Zip
85310-5886
Phone Number
602-571-3364
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
7939 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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