Individual
DR. RICHARD K UMSTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 WASHINGTON ST E, SUITE 208, CHARLESTON, WV 25301-1834
(304) 388-7270
(304) 388-7280
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 347-1290
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15137
WV
208600000X
Surgery Physician
TP103
KY
2086S0102X
Surgical Critical Care Physician
15137
WV
2086S0102X
Surgical Critical Care Physician
TP130
KY
2086S0127X
Trauma Surgery Physician
15137
WV
2086S0127X
Trauma Surgery Physician
TP130
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041293000
—
WV
Enumeration date
10/05/2006
Last updated
05/31/2013
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