Organization
WILFREDO N. MOLANO MDSC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO NAVA MOLANO M.D. (PHYSICIAN/ADMINISTRATOR)
(304) 562-3331
Entity
Organization
Contact information
Practice address
2733 MAIN ST, HURRICANE, WV 25526-1420
(304) 562-3331
Mailing address
PO BOX 428, HURRICANE, WV 25526
(304) 562-3331
(304) 562-3364
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10473
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8802214
MEDICARE
WV
Enumeration date
10/10/2006
Last updated
03/12/2008
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