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Individual

DR. RICHARD A BUDNEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3468 BRODHEAD RD, MONACA, PA 15061-3149
(304) 919-0859
Mailing address
236 SCHOOL ST, WEIRTON, WV 26062-3359
(304) 919-0859

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT002736
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025382770001
PA
01
2556713
HIGHMARK BC/BS
PA
01
DAPT002323
DIRECT ACCESS STATE LICENSE
PA
01
PT020204
STATE LICENSE
PA
Enumeration date
02/26/2009
Last updated
05/17/2011
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