Individual
SAMUEL JAMES MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2325 DOUGHERTY FERRY RD STE 100, SAINT LOUIS, MO 63122-3356
(618) 401-9856
Mailing address
9663 CANVASBACK DR, MASCOUTAH, IL 62258-2763
(618) 401-9856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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