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NPI Code Detail

MEDICARE: DR. JEFFREY WILLIAM MOLLOY M.D.

MEDICARE:  DR. JEFFREY WILLIAM MOLLOY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA83198CA
2207RG0100XGastroenterology Physician7988AK

General Provider Information

NPI Number : 1306833611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY WILLIAM MOLLOY M.D.
Provider Business Mailing Address
First Line : 3851 PIPER ST
Second Line : STE U466
City : ANCHORAGE
State : AK
Zip : 99508-6905
Country : GB
Telephone Number : 01638528554
Fax Number :
Provider Business Practice Location Address
First Line : 3851 PIPER ST STE U466
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-6905
Country : US
Telephone Number : 907-569-1333
Fax Number : 907-569-0433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 06/24/2021

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Directions to “ DR. JEFFREY WILLIAM MOLLOY M.D.” Practice Location

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