Individual
DR. BRYAN K RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 WASHINGTON STREET, E, SUITE 103, CHARLESTON, WV 25301
(304) 388-7270
(304) 388-7280
Mailing address
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304-1230
(304) 347-1300
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17819
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126434000
—
WV
Enumeration date
10/05/2006
Last updated
04/06/2022
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