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NPI Code Detail

MEDICARE: KARIN MONTIEL LOPEZ PA

MEDICARE:   KARIN  MONTIEL LOPEZ  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant11437AZ

General Provider Information

NPI Number : 1487495560
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN MONTIEL LOPEZ PA
Provider Business Mailing Address
First Line : 15235 N DYSART RD
Second Line :
City : EL MIRAGE
State : AZ
Zip : 85335-7800
Country : US
Telephone Number : 602-569-3999
Fax Number : 623-215-7161
Provider Business Practice Location Address
First Line : 15235 N DYSART RD STE 103
Second Line :
City : EL MIRAGE
State : AZ
Zip : 85335-7801
Country : US
Telephone Number : 602-569-3999
Fax Number : 623-215-7161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2024
Last Update Date : 02/14/2026

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Directions to “ KARIN MONTIEL LOPEZ PA” Practice Location

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