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Organization
MIRACLES OF LIFE OB/GYN, PLLC
Active
Organization
MIRACLES OF LIFE OB/GYN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY M BRODNIK DO (OWNER)
(304) 327-0531
Entity
Organization
Contact information
Practice address
150 COURTHOUSE RD STE 202, PRINCETON, WV 24740-2450
(304) 327-0531
(304) 324-0548
Mailing address
150 COURTHOUSE RD STE 202, PRINCETON, WV 24740-2450
(304) 327-0531
(304) 324-0548
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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