Most Relevant Information
Provider Data
| NPI Number: | 1003175621 |
| Provider Name: | MARIE A LOPEZ P.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2012 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
1950 NW MYHRE RD FL 3
SILVERDALE
WA
983837662
Practice Location Phone/Fax
| Phone: | 5642404200 |
| Fax: | 5642404299 |
Provider Mailing Location
1950 NW MYHRE RD FL 3
SILVERDALE
WA
983837662
Provider Mailing Phone/Fax
| Phone: | 5642404200 |
| Fax: | 5642404299 |