Individual
DR. MARY RUTH MOTOMAL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
233 WARM SPRINGS AVE, MARTINSBURG, WV 25404-3825
(304) 262-8686
(240) 485-0916
Mailing address
233 WARM SPRINGS AVE, MARTINSBURG, WV 25404-3825
(304) 262-8686
(240) 485-0916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22265
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007064
—
WV
01
—
P00966052
RAIL ROAD MEDICARE
WV
Enumeration date
05/11/2006
Last updated
04/12/2019
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