Individual provider · Type 1 NPI

Ronald W. Green Jr., PA

Specialist · Beaver, WV

NPI number 1366432601 Active

Practice location

703 Ritter Drive
Beaver, WV 25813

Fax (304) 255-5391

Mailing address

PO Box 550
Beaver, WV 25813-0550

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X213 (WV)

Specialist: 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.

2 other providers at this address

About NPI 1366432601

Ronald W. Green Jr., PA's National Provider Identifier is 1366432601, issued on Oct 27, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaver, WV. The record was last updated on Jul 8, 2007.