| Doctor Name: | ANDREA CONTRERAS LOPEZ |
| NPI Number: | 1205298676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.M.D. |
| License Number: | 16-1539 |
| Business Practice Address: | 2401 N 24th St Suite B Phoenix, AZ - 850081836 |
| Business Phone Number: | 6022736888 |
| Business Fax Number: | |
| Mailing Address: | 2401 N 24th St, Suite B PHOENIX |
| State: | AZ |
| Postal Code: | 850081836 |
| Phone Number: | 4808082004 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2016 |
| NPI Last Update Date: | 05/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16-1539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |