Individual
MOLLY ROHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5469 S SOUTHWOOD RD, SPRINGFIELD, MO 65804-5220
(309) 836-3306
Mailing address
5469 S SOUTHWOOD RD, SPRINGFIELD, MO 65804-5220
(309) 836-3306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015027048
MO
363LF0000X
Family Nurse Practitioner
2015027048
MO
Other
Enumeration date
07/31/2015
Last updated
10/21/2015
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