Richard T.c. Wan, M.d. ,psc
NPI #1104996776 in Morgantown, Kentucky
Provider Information
- NPI Number
- 1104996776
- Entity Type
- Organization
- Organization Name
- Richard T.c. Wan, M.d. ,psc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 101 W ROBERTS ST
- City
- Morgantown
- State
- Kentucky
- ZIP Code
- 42261-7942
- Phone
- (270) 526-3841
Authorized Official
- Name
- RICHARD TC WAN, MD
- Title
- OWNER
- Phone
- (270) 526-3841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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