Individual
BRITTAIN MCJUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 347-1300
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 347-1300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11591
WV
207RG0100X
Gastroenterology Physician
Primary
11591
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720244
BLUE CROSS BLUE SHIELD
—
05
—
0088270000
—
WV
01
—
100016116
RAILROAD MEDICARE
—
01
—
P00419463
RAILROAD MEDICARE
WV
Enumeration date
06/23/2006
Last updated
10/03/2013
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