Individual
DR. RICHARD D SIIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11803 JEFFERSON AVE, SUITE 120, NEWPORT NEWS, VA 23606-2565
(757) 594-1060
(757) 594-1066
Mailing address
9 RICHLAND MEDICAL PARK, SUITE 330, COLUMBIA, SC 29203-6859
(800) 290-5309
(803) 434-4354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101227524
VA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0101227524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010157731
—
VA
05
—
3810007453
—
WV
Enumeration date
03/10/2006
Last updated
03/07/2021
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