| Doctor Name: | DR. DOUGLAS FREDERICK RITCHIE |
| NPI Number: | 1255333829 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 21556 |
| Business Practice Address: | 1500 Grand Central Ave Suite 112 Vienna, WV - 261051079 |
| Business Phone Number: | 3042955025 |
| Business Fax Number: | 3042957178 |
| Mailing Address: | 1500 Grand Central Ave, Suite 112 VIENNA |
| State: | WV |
| Postal Code: | 261051079 |
| Phone Number: | 3042955025 |
| Fax Number: | 3042957178 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 10/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 21556 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |