Individual
DR. ERIC J RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
Mailing address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
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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