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Brooke Elizabeth Lopez, MMS,PA-C
Medical Physician Assistant in Highland, Utah
NPI 1912549379

Brooke Elizabeth Lopez is a Medical Physician Assistant based in Highland, UT and is specialized in Medical. Brooke Elizabeth Lopez practices in Highland, UT and has the professional credentials of MMS,PA-C. The NPI Number for Brooke Elizabeth Lopez is 1912549379 and holds a License No. 12304844-1206 (Utah).

The current practice location address for Brooke Elizabeth Lopez is 10290 N North County Blvd Ste 200, Highland, UT and can be reached out via phone at 801-899-3391.

Location: 10290 N North County Blvd Ste 200, Highland, UT, 84003-8973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912549379
Provider Name
Brooke Elizabeth Lopez
Credential
MMS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
10290 N North County Blvd Ste 200, Highland, UT, 84003-8973
Phone Number
801-899-3391
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10290 N North County Blvd Ste 200
City
Highland
State
Utah
Zip
84003-8973
Phone Number
801-899-3391
Fax Number
person
Provider Business Mailing Address Details
Address
10290 N North County Blvd Ste 200
City
Highland
State
Utah
Zip
84003-8973
Phone Number
801-899-3391
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
12304844-1206 (Utah)
Definition
Definition to come...
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