Individual
DR. PETER DE MOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 712-3635
Mailing address
99 BIRWOODE DR, PONTIAC, MI 48340-2257
(323) 337-4845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.46876
AL
Other
Enumeration date
06/24/2020
Last updated
01/17/2024
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