Individual
DR. RICHARD J HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
P. O. BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MS002
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001945000
—
WV
Enumeration date
08/16/2006
Last updated
07/08/2007
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