Individual
MICHAEL EDWARD MOLNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2012 S LONGMONT AVE, BOISE, ID 83706-4235
(732) 239-0602
Mailing address
2012 S LONGMONT AVE, BOISE, ID 83706-4235
(732) 239-0602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
01/12/2020
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