Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 1088 | AL |
NPI | 1013998228 |
---|---|
Provider Name | Dr. William C Lopez |
First Address | Birmingham, AL 35235-3411 |
Second Address | Birmingham, AL 35235-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 05/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C73649 | (02) | AL |