# DANIEL M MOLLOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003852245
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4105 | MT | Yes |
| 207VG0400X | Gynecology Physician | 4105 | MT | — |
| 207VX0000X | Obstetrics Physician | 4105 | MT | — |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 07/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0040716 | — | MT |
| 05 | — | 1057723 | — | WY |
| 01 | — | 11490 | BLUE CROSS OF MONTANA | MT |
| 01 | — | 46155203 | WAUSAU | MT |
| 01 | — | 689502 | PREFERRED ONE | MT |
