| Daniel L Moline, Md, Pc | |
|
124 Nw Midland Ave Suite 108 Grants Pass OR 97526-1269 | |
| (541) 474-5665 | |
| (541) 474-4435 |
| Full Name | Daniel L Moline, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Nw Midland Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Daniel L Moline (OWNER) |
| Authorized Official Contact | 5414745665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L Moline, Md, Pc 124 Nw Midland Ave Suite 108 Grants Pass OR 97526-1269 Ph: (541) 474-5665 | Daniel L Moline, Md, Pc 124 Nw Midland Ave Suite 108 Grants Pass OR 97526-1269 Ph: (541) 474-5665 |
| NPI Number | 1821285669 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821285669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD09058 (Oregon) | Primary |
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