Organization
MOUNTAINEER PULMONOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ALAN MUDRY JR. M.D. (OWNER)
(304) 636-6131
Entity
Organization
Contact information
Practice address
1200 HARRISON AVE STE 121, ELKINS, WV 26241-3392
(304) 636-6131
(304) 637-5203
Mailing address
1200 HARRISON AVE STE 121, ELKINS, WV 26241-3392
(304) 636-6131
(304) 637-5203
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
WV
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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