Individual
DR. PHILIP JAMES MOLLICA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2502 BROADWAY AVE SW, ROANOKE, VA 24014
(540) 344-2000
(540) 344-8573
Mailing address
2502 BROADWAY AVE SW, ROANOKE, VA 24014
(540) 344-2000
(540) 344-8573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1867474
FIRST HEALTH
—
01
—
241957
ANTHEM
VA
01
—
252019
MAMSI ALLIANCE
—
01
—
350038692
RAILROAD MEDICARE
—
01
—
4279222
AETNA
—
01
—
460498
ACN GROUP
—
01
—
95316
SOUTHERN HEALTH
—
Enumeration date
05/24/2006
Last updated
07/09/2010
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