Individual
MATTHEW MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042
(316) 322-4500
Mailing address
1518 N TERHUNE ST, WICHITA, KS 67230-7243
(316) 371-9449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31922
KS
208000000X
Pediatrics Physician
31922
KS
Other
Enumeration date
08/30/2006
Last updated
10/19/2018
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