Jacob Theodoor Moll M.D.

NPI 1013071794 - Preventive Medicine - 2083A0100X

NPI Details
NPI 1013071794
Gender Male
Enumeration Date 12/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
723 PINEY FOREST RD
DANVILLE VA, 24540-2860, US
Phone (434) 773-6830
Fax (434) 773-6832
Business Location
570 COUNTRY PLACE RD
AXTON VA, 24054-2566, US
Phone (276) 666-5908
Fax (276) 666-5908
Toxanomy
Taxonomy Code 2083A0100X
License State Virginia
License Number 0101019920
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According to our database, Dr. Jacob Theodoor Moll M.D. NPI is 1013071794, taxonomy code is 2083A0100X and license number is 0101019920, license state is located at Virginia. Jacob Theodoor Moll M.D. physically located at 723 Piney Forest Rd, Danville VA, 24540-2860. NPI Number Jacob Theodoor Moll M.D. has the Individual type.

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1013071794 NPI number is provided on an as is basis without warranty of any kind. 1013071794 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Theodoor Moll M.D. are for informational purposes only.