NPI 1528805041

Mathew Lopez

Practitioner Driver Box Elder, MT

Practice location

Address: 357 Duck Creek Rd, Box Elder, MT 59521-8793
Phone: (406) 402-8300

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1528805041
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2024
Record last updated: 11 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.