David Moll NMD

NPI 1659553436 - Specialist - 174400000X

NPI Details
NPI 1659553436
Gender Male
Enumeration Date 12/03/2007
Last Updated 12/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
85 BROOKWOOD AVE
SUITE 22
SANTA ROSA CA, 95404-4513, US
Phone (707) 573-1680
Fax
Business Location
85 BROOKWOOD AVE
SUITE 22
SANTA ROSA CA, 95404-4513, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number 42162
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According to our database, David Moll NMD NPI is 1659553436, taxonomy code is 174400000X and license number is 42162, license state is located at California. David Moll NMD physically located at 85 Brookwood Ave, Santa Rosa CA, 95404-4513. NPI Number David Moll NMD has the Individual type.

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1659553436 NPI number is provided on an as is basis without warranty of any kind. 1659553436 is maintained by the National Plan & Provider Enumeration System. The contents of David Moll NMD are for informational purposes only.