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Individual
DR. JOHN PORTER RICHARDS
Active
Individual
DR. JOHN PORTER RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1129
WV
208100000X
Physical Medicine & Rehabilitation Physician
1129
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721126
BC/BS
WV
05
—
0041905000
—
WV
01
—
004361690
AETNA
WV
01
—
1025208
WORKER'S COMPENSATION
WV
01
—
110028670
RAILROAD MEDICARE
WV
01
—
205562
CARELINK COVENTRY
WV
01
—
224826100
US DEPT OF LABOR
WV
01
—
550694936
UNITED HEALTHCARE MAMSI
WV
01
—
7152313
CIGNA
WV
Enumeration date
04/08/2006
Last updated
09/13/2023
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