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NPI Code Detail

MEDICARE: DR. JOSEPH ALEXANDER LOPEZ M.D.

MEDICARE:  DR. JOSEPH ALEXANDER LOPEZ  M.D.
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
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianK0904TX

General Provider Information

NPI Number : 1982699757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ALEXANDER LOPEZ M.D.
Provider Business Mailing Address
First Line : 5000 E MCDOWELL RD
Second Line :
City : MESA
State : AZ
Zip : 85215-9797
Country : US
Telephone Number : 334-782-2773
Fax Number :
Provider Business Practice Location Address
First Line : 5000 E MCDOWELL RD
Second Line :
City : MESA
State : AZ
Zip : 85215-9797
Country : US
Telephone Number : 334-782-2773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 10/23/2025

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Directions to “ DR. JOSEPH ALEXANDER LOPEZ M.D.” Practice Location

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