Whalio Doctors

NPI 1710961669

Richard Allen Douglas, MDFACS

Practitioner Neurological Surgery Physician Bridgeport, WV

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
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 20050 (WV)

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.