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Organization
BLUEFIELD WOMENS CENTER PC
Active
Organization
BLUEFIELD WOMENS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY M BRODNIK DO FACOG (PRESIDENT)
(304) 327-0531
Entity
Organization
Contact information
Practice address
504A CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-0531
(304) 327-6834
Mailing address
504A CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-0531
(304) 327-6834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1566
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093390000
—
WV
01
—
6210970
MEDICAID
VA
Enumeration date
01/30/2007
Last updated
03/05/2012
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