Individual
DR. PETER JOHN MOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
U S DEPT OF STATE MED # SA-1, 2401 E. STREET NW, WASHINGTON, DC 20522-0001
(202) 663-2453
Mailing address
7000 ANKARA PL, DULLES, VA 20189-7000
(801) 277-8365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6912
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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