Provider Demographics
NPI:1013998228
Name:LOPEZ, WILLIAM C (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:100 PILOT MEDICAL DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3411
Mailing Address - Country:US
Mailing Address - Phone:205-854-8404
Mailing Address - Fax:205-854-4302
Practice Address - Street 1:100 PILOT MEDICAL DR
Practice Address - Street 2:SUITE 225
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3411
Practice Address - Country:US
Practice Address - Phone:205-854-8404
Practice Address - Fax:205-854-4302
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1088207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I107435Medicare PIN
ALC73649Medicare UPIN