Individual
DR. JOHN JOSEPH MOLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 S NATIONAL AVE STE 101, SPRINGFIELD, MO 65807-7315
(417) 269-9950
(417) 269-9959
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006008759
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207544909
—
MO
Enumeration date
02/10/2006
Last updated
09/24/2024
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