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Ronald W Green JR., PA
Specialist in Beaver, West Virginia
NPI 1366432601

Ronald W Green JR. is a Specialist based in Beaver, WV. Ronald W Green JR. practices in Beaver, WV and has the professional credentials of PA. The NPI Number for Ronald W Green JR. is 1366432601 and holds a License No. 213 (West Virginia).

The current practice location address for Ronald W Green JR. is 703 Ritter Drive, Beaver, WV and can be reached out via phone at 304-255-1300 and via fax at 304-255-5391.

Location: 703 Ritter Drive, Beaver, WV, 25813-0550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366432601
Provider Name
Ronald W Green JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
703 Ritter Drive, Beaver, WV, 25813-0550
Phone Number
304-255-1300
Fax Number
304-255-5391
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001720686 01 WV BLUE CROSS
2103752 01 WV MAMSI
institution
Provider Business Practice Location Address Details
Address
703 Ritter Drive
City
Beaver
State
West Virginia
Zip
25813
Phone Number
304-255-1300
Fax Number
304-255-5391
person
Provider Business Mailing Address Details
Address
703 Ritter Drive
City
Beaver
State
West Virginia
Zip
25813
Phone Number
304-255-1300
Fax Number
304-255-5391
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
213 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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