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Individual

MRS. MOLLY MARIE PFEIFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
340 OXFORD ST, DOVER, OH 44622-1965
(330) 343-0753
Mailing address
340 OXFORD ST, DOVER, OH 44622-1965
(330) 343-1144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003142
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50.003142
LICENSE
OH
01
H075230
MEDICARE
Enumeration date
12/16/2010
Last updated
08/26/2014
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