Individual
DR. RONALD ALAN MUDRY JR.
Active
Individual
DR. RONALD ALAN MUDRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
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