Individual
MR. RANDALL GENE MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3521 MONONGAHELA BLVD, COLISEUM ROOM 34, MORGANTOWN, WV 26505-3021
(304) 293-2737
(304) 293-3366
Mailing address
471 MERIDAN ST, MORGANTOWN, WV 26505-2220
(304) 598-9225
(304) 293-3366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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