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Individual

MANUEL E MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 MORRIS STREET, STE 104, CHARLESTON, WV 25301
(304) 343-4691
(304) 345-7824
Mailing address
415 MORRIS STREET, STE 104, CHARLESTON, WV 25301
(304) 343-1399
(304) 345-7824

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17346
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001717675
BCBS
WV
05
0097869000
WV
01
2140997
UNITED HCARE
WV
Enumeration date
07/21/2006
Last updated
03/15/2023
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