Individual
JOSEPH E MOLLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 NW 16TH ST, FRUITLAND, ID 83619-2202
(208) 452-8700
(208) 452-8701
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1671360
ID
363A00000X
Physician Assistant
PA57157
CA
Other
Enumeration date
08/01/2017
Last updated
08/27/2025
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