Individual
MR. PAUL ANTHONY MOLBERT
Active
Individual
MR. PAUL ANTHONY MOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2761
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APO3822
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910061
—
AL
05
—
1111309
—
LA
01
—
P00406140
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
03/29/2023
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