Individual provider · Type 1 NPI

Jorge Luis Lopez, PA

Physician Assistant · Fort Carson, CO

NPI number 1104952209 Active

Practice location

1650 Cochrane Cir, Attn Credentials Office
Fort Carson, CO 80913-4603

Call (719) 526-7844 Map

Fax (719) 526-7984

Mailing address

Evans Army Community Hospital (each) Usa Meddac, 1650 Cochrane Circle, Attn Credentials Office
Colorado Spings, CO 80913-4604

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104952209

Jorge Luis Lopez, PA's National Provider Identifier is 1104952209, issued on Feb 26, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 8, 2007.