Edward M Lopez, MD | |
1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 | |
(719) 557-3616 | |
(719) 557-3690 |
Full Name | Edward M Lopez |
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Gender | Male |
Speciality | Surgery |
Location | 1925 E Orman Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376512665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 26672 (Colorado) | Primary |
Entity Name | Colorado Plains Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821042409 PECOS PAC ID: 4082628706 Enrollment ID: O20060202000338 |
Mailing Address | Practice Location Address |
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Edward M Lopez, MD 1000 Lincoln St, Suite 208, Fort Morgan, CO 80701-3290 Ph: (970) 542-4371 | Edward M Lopez, MD 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 Ph: (719) 557-3616 |
Dr. Paul Raymond Radway, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3506 San Jose Ct, Pueblo, CO 81005 Phone: 719-252-6467 | |
Michael Lee King, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Ste 510, Pueblo, CO 81003 Phone: 719-566-3535 Fax: 719-566-3565 | |
Dr. Rina K. Shinn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4947 | |
Dr. Lonnie L Imlay, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004 Phone: 719-564-0210 Fax: 719-564-9483 | |
Priscilla Nobecourt, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 430, Pueblo, CO 81003 Phone: 719-545-8240 | |
Philip Charles Marin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 N Grand Ave, Pueblo, CO 81003 Phone: 719-669-8487 Fax: 719-669-8488 | |
Maryam Idrees Khan, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave Ste 430, Pueblo, CO 81003 Phone: 719-545-8240 Fax: 719-545-4319 |