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Individual

DR. JOHN FRANCIS RIORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
880 N TENNESSEE AVE STE 105, MARTINSBURG, WV 25401-9401
(304) 596-5757
(304) 596-5758
Mailing address
2500 FOUNDATION WAY, MARTINSBURG, WV 25401-9000
(304) 264-9202
(304) 264-9042

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2008011487
MO
208800000X
Urology Physician
Primary
25963
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033381108
MEDICAID-ST. FRANCIS HOSPITAL
MO
05
3810027652
WV
01
E26000017
MEDICARE-ST. FRANCIS
MO
Enumeration date
03/29/2008
Last updated
04/07/2022
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