Individual
MOLLY MULLINS SOASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2127 E HARMONY RD, SUITE 140, FORT COLLINS, CO 80528-3405
(970) 297-6250
(970) 297-6260
Mailing address
2127 E HARMONY RD, SUITE 140, FORT COLLINS, CO 80528-3405
(970) 297-6250
(970) 297-6260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003628
CO
363A00000X
Physician Assistant
PA01361
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25679775
—
CO
Enumeration date
06/19/2008
Last updated
03/22/2016
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