| Bradley J Richardson Md Ed D Inc | |
|
2828 1st Ave Suite 510 Huntington WV 25702 | |
| (304) 529-0483 | |
| (304) 781-2687 |
| Full Name | Bradley J Richardson Md Ed D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2828 1st Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Bradley J Richardson (OWNER) |
| Authorized Official Contact | 3045290483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley J Richardson Md Ed D Inc 2828 1st Ave Suite 510 Huntington WV 25702 Ph: (304) 529-0483 | Bradley J Richardson Md Ed D Inc 2828 1st Ave Suite 510 Huntington WV 25702 Ph: (304) 529-0483 |
| NPI Number | 1619914702 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619914702 | NPI | - | NPPES |
| 3810004242 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18231 (West Virginia) | Primary |
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