Individual
DR. RICHARD WADE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 MEDICAL PARK DR, SUITE 205, BRIDGEPORT, WV 26330-9008
(304) 842-0804
(304) 842-0806
Mailing address
527 MEDICAL PARK DR, SUITE 205, BRIDGEPORT, WV 26330-9008
(304) 842-0804
(304) 842-0806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
WV17472B
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092785001
—
WV
Enumeration date
12/28/2005
Last updated
04/12/2022
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