Organization
JOHN P. RICHARDS, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. RICHARDS D.O. (OWNER)
(304) 965-7051
Entity
Organization
Contact information
Practice address
4914 ELK RIVER RD STE A, ELKVIEW, WV 25071-9278
(304) 965-7051
(304) 965-5074
Mailing address
4914 ELK RIVER RD STE A, ELKVIEW, WV 25071-9278
(304) 965-7051
(304) 965-5074
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1129
WV
207Q00000X
Family Medicine Physician
1129
WV
208100000X
Physical Medicine & Rehabilitation Physician
1129
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041905000
—
WV
01
—
1025208
WORKERS COMPENSATION
WV
01
—
205562
CARELINK COVENTRY
WV
01
—
7152313
CIGNA
WV
Enumeration date
01/29/2007
Last updated
04/20/2008
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