Individual provider · Type 1 NPI

J. Antonio G. Lopez, MD

Cardiovascular Disease Physician · Boise, ID

NPI number 1326011503 Active

Practice location

6140 W Curtisian Ave, Suite 200
Boise, ID 83704-0107

Call (208) 367-4278 Map

Fax (208) 367-5200

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XG56032 (CA)
Cardiovascular Disease Physician Primary 207RC0000XM-9898 (ID)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1326011503

J. Antonio G. Lopez, MD's National Provider Identifier is 1326011503, issued on Feb 9, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Boise, ID. The record was last updated on Aug 11, 2014.