IndividualActive
Gerardo Lopez, MD
NPI 1174522106 · Diagnostic Radiology Physician · Fairmont, WV
Provider details
- NPI number
- 1174522106
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 10956 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
700 Village Dr
Fairmont, WV 26554-7985
Phone: (304) 366-2600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 890707
Charlotte, NC 28289-0707
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.