Provider Demographics
NPI:1114992500
Name:AYERS, RICHARD B (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:AYERS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:235 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:MSC 7901 JAMES MADISON UNIVERSITY - HEALTH CENTER
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-6178
Mailing Address - Fax:540-568-6176
Practice Address - Street 1:235 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:MSC 7901 JAMES MADISON UNIVERSITY - HEALTH CENTER
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-6178
Practice Address - Fax:540-568-6176
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005621577Medicaid
080007706Medicare ID - Type Unspecified
VA005621577Medicaid