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Individual

DR. TARA MICHELLE RICKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 293-6307
Mailing address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 293-6307

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27135
WV
207R00000X
Internal Medicine Physician
LL33653
SC

Other

Enumeration date
06/15/2011
Last updated
04/18/2022
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