NPI 1710961669
Richard Allen Douglas, MDFACS
Practice location
- Address
- 527 Medical Park Drive Suite 401, Bridgeport, WV 26330
- Phone
- (681) 342-3500
- Fax
- (681) 342-3561
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1710961669
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Dec 2005
- Record last updated
- 5 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.