Richard C. Wisman, M.D.

NPI #1265475826 in Beckley, West Virginia

Provider Information

NPI Number: 1265475826
Entity Type: Individual
Name: Richard C. Wisman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 13, 2006
Last Updated: Oct 22, 2007

Practice Location

Address: 379 STANAFORD RD
City: Beckley
State: West Virginia
ZIP Code: 25801-3141
Phone: (304) 253-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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