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Contact Information

GEMMA J LOPEZ, PA-C
36453 N GANTZEL RD
102
SAN TAN VALLEY , AZ85140
 Phone: 480-636-1225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GEMMA J LOPEZ · (Female)

NPI # 1932683919
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/17/2018
Last updated 01/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 7208
  • AZ Medicaid 577172
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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