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Individual

RONALD LEE BROWNFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5170 US ROUTE 60 E, HUNTINGTON, WV 25705-2004
(304) 429-5594
(304) 429-5627
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 696-1623

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1045
WV
207Q00000X
Family Medicine Physician
34.012804
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0040579000
WV
01
080101851
RAILROAD MEDICARE
05
0900592
OH
Enumeration date
06/20/2006
Last updated
07/28/2017
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