Individual provider · Type 1 NPI

Nicholas Ryan Lopez, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1104614643 Active

Practice location

350 W Thomas Rd
Phoenix, AZ 85013-4496

Call (602) 406-3000 Map

Mailing address

3100 N Central Ave
Phoenix, AZ 85012-2637

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104614643

Nicholas Ryan Lopez, MD's National Provider Identifier is 1104614643, issued on Apr 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 25, 2025.