Individual
NICHOLAS K. MOLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040 JACKSON AVE, DEPARTMENT OF FAMILY MEDICINE / SPORTS MEDICINE, TACOMA, WA 98431
(253) 968-6287
Mailing address
9040 JACKSON AVE, DEPARTMENT OF FAMILY MEDICINE / SPORTS MEDICINE, TACOMA, WA 98431
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OP61284760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212502
—
WA
Enumeration date
03/18/2015
Last updated
08/27/2024
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