Individual
SAMANTHA MOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1435 SCORPIUS DR, IDAHO FALLS, ID 83402-1805
(208) 589-1765
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
151909
ID
Other
Enumeration date
11/03/2015
Last updated
01/28/2016
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