Individual
DR. RONALD ALAN MUDRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 GORMAN AVE, SUITE 201, ELKINS, WV 26241-3082
(304) 637-6302
(304) 637-6307
Mailing address
PO BOX 2630, ELKINS, WV 26241-2630
(304) 637-6302
(304) 637-6307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21547
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21547
WV
207RP1001X
Pulmonary Disease Physician
Primary
21547
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710081864
MOUNTAIN STATE BCBS
—
05
—
3810008329
—
WV
01
—
WV21547A
HEALTH PLAN
WV
Enumeration date
09/11/2006
Last updated
10/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us