Individual
MR. RONALD RAY SPRUILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 OAK LEE DRIVE, RANSON, WV 25438
(304) 930-0001
(681) 252-1843
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007496
VA
363A00000X
Physician Assistant
Primary
2256
WV
363A00000X
Physician Assistant
C0002450
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2256
STATE LICENSE
WV
Enumeration date
05/23/2005
Last updated
03/08/2021
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