Provider Demographics
NPI:1245210673
Name:ALLISON, RICHARD A (PA)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:ALLISON
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Gender:M
Credentials:PA
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Mailing Address - Street 1:501 N TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-9271
Mailing Address - Country:US
Mailing Address - Phone:304-263-8666
Mailing Address - Fax:304-264-3996
Practice Address - Street 1:510 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9990
Practice Address - Country:US
Practice Address - Phone:304-263-0811
Practice Address - Fax:304-264-3996
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant