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Individual

GEORGE W MOLZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
965 ELLENDALE DR, MEDFORD, OR 97504-8215
(541) 734-3434
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 734-3434

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
82262
NM
207P00000X
Emergency Medicine Physician
MD161616
OR
207P00000X
Emergency Medicine Physician
ME98777
FL
207Q00000X
Family Medicine Physician
Primary
MD161616
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500655661
OR
Enumeration date
10/04/2006
Last updated
01/31/2017
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