Individual
ROBERT EUGENE OLEXO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6819
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1951
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718185
MOUNTAIN STATE BCBS
—
01
—
1951
HEALTH PLAN OF UPPER OH V
—
05
—
2412179
—
OH
05
—
3810000336
—
WV
01
—
55035705700
WV COMPENSATION
WV
Enumeration date
08/09/2005
Last updated
03/29/2016
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