Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4105 | MT |
N | 207VG0400X | Gynecologist | 4105 | MT |
N | 207VX0000X | Obstetrician | 4105 | MT |
NPI | 1003852245 |
---|---|
Provider Name | Daniel M Molloy |
First Address | Billings, MT 59101-7506 |
Second Address | Billings, MT 59101-7506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 20/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0040716 | (05) | MT |
1057723 | (05) | WY |
11490 | BLUE CROSS OF MONTANA (01) | MT |
46155203 | WAUSAU (01) | MT |
689502 | PREFERRED ONE (01) | MT |
D96180 | (02) | MT |