# MARY RUTH LOPEZ, MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194112524
- **Authorized official:** DR. MARY RUTH M LOPEZ MD (PHYSICIAN)
- **Authorized official phone:** (304) 262-8686

## Contact information

- **Practice address:** 233 WARM SPRINGS AVE, MARTINSBURG, WV 25404-3825
- **Practice address phone:** (304) 262-8686
- **Practice address fax:** (240) 485-0916
- **Mailing address:** 233 WARM SPRINGS AVE, MARTINSBURG, WV 25404-3825
- **Mailing address phone:** (304) 262-8686
- **Mailing address fax:** (240) 485-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22265 | WV | Yes |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 04/23/2015