# MIRACLES OF LIFE OB/GYN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821693656
- **Authorized official:** DR. RANDY M BRODNIK DO (OWNER)
- **Authorized official phone:** (304) 327-0531

## Contact information

- **Practice address:** 150 COURTHOUSE RD STE 202, PRINCETON, WV 24740-2450
- **Practice address phone:** (304) 327-0531
- **Practice address fax:** (304) 324-0548
- **Mailing address:** 150 COURTHOUSE RD STE 202, PRINCETON, WV 24740-2450
- **Mailing address phone:** (304) 327-0531
- **Mailing address fax:** (304) 324-0548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/01/2020