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Contact Information

RICHARD A DOUGLAS, M.D.,F.A.C.S.
527 MEDICAL PARK DRIVE
SUITE 401
BRIDGEPORT, WV26330
 Phone: 681-342-3500
 Fax: 681-342-3561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD A DOUGLAS · (Male)

NPI Number 1710961669
Status Active
Credentials M.D.,F.A.C.S.
Entity Individual
Enumeration date 12/05/2005
Last updated 04/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 20050
  • WV Medicaid 0088893000
  • WV Other 001709481 BC/BS
Hospital affiliation(s)
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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