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Individual

DR. RONALD WAYNE BILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3016E CUMBERLAND RD, BLUEFIELD, WV 24701-4858
(304) 431-5499
Mailing address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
(304) 431-3400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23181
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0022360001
WV
01
1043387327
PRUDICH MEDICAL NPI
WV
01
1346266848
GROUP NPI
WV
01
1881850592
MOUNTAIN STATE BC
WV
01
9232183
AETNA
WV
Enumeration date
08/01/2008
Last updated
11/23/2015
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