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Organization

MIRACLES OF LIFE OB/GYN, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDY M BRODNIK DO (OWNER)
(304) 327-0531
Entity
Organization

Contact information

Practice address
150 COURTHOUSE RD STE 202, PRINCETON, WV 24740-2450
(304) 327-0531
(304) 324-0548
Mailing address
150 COURTHOUSE RD STE 202, PRINCETON, WV 24740-2450
(304) 327-0531
(304) 324-0548

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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