person
Rafael Modesto Rodighiero, PA-C
Medical Physician Assistant in Logan, West Virginia
NPI 1881969475

Rafael Modesto Rodighiero is a Medical Physician Assistant based in Hamlin, WV and is specialized in Medical. Rafael Modesto Rodighiero practices in Logan, WV and has the professional credentials of PA-C. The NPI Number for Rafael Modesto Rodighiero is 1881969475 and holds a License No. 01624 (West Virginia).

The current practice location address for Rafael Modesto Rodighiero is 122 Nick Savas Dr, Logan, WV and can be reached out via phone at 304-752-8081 and via fax at 304-752-8083. You can also correspond with Rafael Modesto Rodighiero through the mailing address at 7400 LYNN AVE, HAMLIN, WV - 25523-1138 (mailing address contact number: 304-824-5806).

Location: 122 Nick Savas Dr, Logan, WV, 25523-1138
person
Provider Profile Details
NPI Number
1881969475
Provider Name
Rafael Modesto Rodighiero
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
122 Nick Savas Dr, Logan, WV, 25523-1138
Phone Number
304-752-8081
Fax Number
304-752-8083
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810022963 05 WV
institution
Provider Business Practice Location Address Details
Address
122 Nick Savas Dr
City
State
Zip
25601-3468
Phone Number
304-752-8081
Fax Number
304-752-8083
person
Provider Business Mailing Address Details
Address
122 Nick Savas Dr
City
State
Zip
25601-3468
Phone Number
304-752-8081
Fax Number
304-752-8083
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01624 (West Virginia)
Definition
Definition to come...
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