Individual
DANIEL M MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 12TH AVE N, STE 245W, BILLINGS, MT 59101-7506
(406) 238-6010
(406) 238-6022
Mailing address
2900 12TH AVE N, STE 245W, BILLINGS, MT 59101-7506
(406) 238-6010
(406) 238-6022
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4105
MT
207VG0400X
Gynecology Physician
4105
MT
207VX0000X
Obstetrics Physician
4105
MT
Other
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
Enumeration date
06/22/2006
Last updated
07/20/2011
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