Individual
DR. SAMUEL EVAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 293-5323
(304) 293-8724
Mailing address
71 LOCH HAVEN DR, MORGANTOWN, WV 26508-2937
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30932
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2019
Last updated
10/16/2023
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