Individual
RANO SOLIDUM BOFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 TEAYS BRANCH, CAREMORE PAIN MGT, PAINTSVILLE, KY 41240
(606) 789-7246
(606) 789-4392
Mailing address
PO BOX 56, MAN, WV 25635-0056
(304) 583-2998
(304) 583-2998
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
09512
WV
208VP0000X
Pain Medicine Physician
Primary
16535
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123526000
—
WV
Enumeration date
10/03/2005
Last updated
11/16/2010
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