| Ronald F Lopez Md Llc | |
|
12176 S 1000 E Draper UT 84020-9716 | |
| (801) 572-3750 | |
| (801) 572-1097 |
| Full Name | Ronald F Lopez Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12176 S 1000 E, Draper, Utah |
| Authorized Official Name and Position | Ben Gunn (OFFICE MANAGER) |
| Authorized Official Contact | 8015723750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald F Lopez Md Llc Po Box 150610 Ogden UT 84415-0610 Ph: (801) 476-9200 | Ronald F Lopez Md Llc 12176 S 1000 E Draper UT 84020-9716 Ph: (801) 572-3750 |
| NPI Number | 1841400306 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841400306 | NPI | - | NPPES |
| 55661149801001 | Other | UT | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 188509-1205 (Utah) | Primary |
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