Individual
ALLEN ANDREW RICKARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 598-6900
(304) 285-7373
Mailing address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 598-6900
(304) 285-7373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31369
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040619560001
—
PA
05
—
1659830933
—
WV
05
—
229183500
—
MD
Enumeration date
03/17/2019
Last updated
02/27/2023
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