Individual
DANIEL J. MOLLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SUITE 400, SHREVEPORT, LA 71115-2302
(318) 212-3456
(318) 212-3885
Mailing address
8001 YOUREE DR, SUITE 400, SHREVEPORT, LA 71115-2302
(318) 212-3456
(318) 212-3885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012335
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159859
—
LA
Enumeration date
06/21/2006
Last updated
12/17/2007
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