Individual
VIRGINIA M MOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN STREET, CINCINNATI, OH 45219
(513) 584-5335
(513) 584-3663
Mailing address
3200 BURNET AVE, 3 SOUTH, CINCINNATI, OH 45229-3019
(513) 585-5501
(513) 584-3663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-07-1984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200270050A
—
IN
05
—
2149482
—
OH
Enumeration date
08/02/2005
Last updated
10/22/2013
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