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Individual
DR. ERIC J RADCLIFFE
Active
Individual
DR. ERIC J RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16836
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718907
BLUECROSSBLUESHIELD #
WV
05
—
0053261000
—
WV
01
—
080128624
RAILROAD MEDICARE #
WV
01
—
206377
CARELINK/COVENTRY #
WV
01
—
2116270
ALLIANCE
WV
01
—
8116270
MAMSI PROVIDER #
WV
01
—
WV16836A
HEALTH PLAN #
WV
Enumeration date
11/21/2005
Last updated
04/06/2022
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