Individual
DR. JASON ROCCO MOLINARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 N ORANGE ST STE 202, MISSOULA, MT 59802-2951
(406) 327-1670
(406) 329-5697
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME115111
FL
2084P0800X
Psychiatry Physician
Primary
MED-PHYS-LIC-50435
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014221300
—
FL
Enumeration date
05/02/2008
Last updated
02/06/2020
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