Individual
DR. MARK ALLEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 DONNALLY ST, SUITE 203, CHARLESTON, WV 25301-1648
(304) 347-6700
(304) 347-6841
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24449
WV
Other
Enumeration date
06/24/2008
Last updated
12/30/2021
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