Individual
DR. RANDY LEE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21827
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006862
BLUE CROSS/BLUE SHIELD
WV
05
—
381002129
—
WV
Enumeration date
08/31/2006
Last updated
09/30/2015
Update your record
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