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Contact Information

RONALD A MUDRY JR, MD
911 GORMAN AVE
SUITE 201
ELKINS, WV26241-3082
 Phone: 304-637-6302
 Fax: 304-637-6307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RONALD A MUDRY JR · (Male)

NPI # 1710081864
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2006
Last updated 10/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 21547
  • WV Medicaid 3810008329
  • Other 1710081864 MOUNTAIN STATE BCBS
  • WV Other WV21547A HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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