Individual
MRS. MOLLY F ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2347 E GALA ST, MERIDIAN, ID 83642-4881
(208) 323-3767
(208) 323-3768
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 454-0567
(208) 454-0965
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-739
ID
Other
Enumeration date
07/07/2006
Last updated
01/04/2013
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