Organization
TYGART VALLEY ORTHOPEDICS AND SPORTS MEDICINE, INC.
Active
Other names
Tygart Valley Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EDMOND TOPPING M.D. (PRESIDENT/PHYSICIAN)
(304) 637-4509
Entity
Organization
Contact information
Practice address
1502 HARRISON AVE, ELKINS, WV 26241-3327
(304) 637-4509
(304) 637-5319
Mailing address
PO BOX 848220, BOSTON, MA 02284-8220
(304) 637-4509
(304) 637-5319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710883
BC/BS ID NUMBER
WV
01
—
4000084000
MEDICAID ID NUMBER
WV
01
—
5110270001
MEDICARE DME
WV
Enumeration date
07/21/2006
Last updated
05/15/2009
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