Individual
RAFAEL EVENCIO MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 13TH AVE, HUNTINGTON, WV 25701-3812
(304) 697-2014
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21985
WV
207V00000X
Obstetrics & Gynecology Physician
35086645
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368678
ANTHEM BC
OH
01
—
001709560
MT. STATE
WV
01
—
001709561
MT. STATE
OH
05
—
2613578
—
OH
05
—
3810001850
—
WV
05
—
64107105
—
KY
Enumeration date
01/19/2006
Last updated
05/28/2024
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