Organization
DANIEL L MOLINE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L MOLINE MD (OWNER)
(541) 474-5665
Entity
Organization
Contact information
Practice address
124 NW MIDLAND AVE, SUITE 108, GRANTS PASS, OR 97526-1269
(541) 474-5665
(541) 474-4435
Mailing address
124 NW MIDLAND AVE, SUITE 108, GRANTS PASS, OR 97526-1269
(541) 474-5665
(541) 474-4435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09058
OR
Other
Enumeration date
09/25/2007
Last updated
10/30/2007
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