Individual
DANIELLE MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13555 W MCDOWELL RD, #302, GOODYEAR, AZ 85395-2624
(623) 512-4390
(623) 512-4391
Mailing address
13555 W MCDOWELL RD, #302, GOODYEAR, AZ 85395-2624
(623) 512-4390
(623) 512-4391
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
21146
CA
363AS0400X
Surgical Physician Assistant
Primary
5393
AZ
Other
Enumeration date
08/29/2010
Last updated
02/22/2016
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