Organization
RICHARDSON MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J RICHARDSON M.D. (MANAGING MEMBER)
(304) 634-6801
Entity
Organization
Contact information
Practice address
5185 US ROUTE 60 E STE 30, HUNTINGTON, WV 25705-2003
(304) 955-6350
Mailing address
5185 US ROUTE 60 E STE 30, HUNTINGTON, WV 25705-2003
(304) 955-6350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WV18236
WV
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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