# DANIEL L MOLINE, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821285669
- **Authorized official:** MR. DANIEL L MOLINE MD (OWNER)
- **Authorized official phone:** (541) 474-5665

## Contact information

- **Practice address:** 124 NW MIDLAND AVE, SUITE 108, GRANTS PASS, OR 97526-1269
- **Practice address phone:** (541) 474-5665
- **Practice address fax:** (541) 474-4435
- **Mailing address:** 124 NW MIDLAND AVE, SUITE 108, GRANTS PASS, OR 97526-1269
- **Mailing address phone:** (541) 474-5665
- **Mailing address fax:** (541) 474-4435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD09058 | OR | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 10/30/2007