Individual
DR. RICHARD ELLIOT PICCIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 BARNARD AVE, ELKINS, WV 26241-3150
(304) 636-7451
(304) 637-2007
Mailing address
CENTRAL WV MEDCORP INC, PO BOX 2630, ELKINS, WV 26241-2630
(304) 636-7451
(304) 637-2007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09937
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000139958
BCBS PROVIDER NUMBER
WV
05
—
0082929001
—
WV
01
—
WV09937A
HEALTH PLAN PROVIDER NBR
WV
Enumeration date
09/06/2006
Last updated
01/11/2010
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