Dr. Daniel W Moullet, MD
Family Medicine in Ronan, MT. Individual provider (NPI-1).
NPI number1790773802
StatusActive
Last updated in NPPESSep 13, 2013
Details
- NPI
- 1790773802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel W Moullet
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2005
- Last updated
- Sep 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00034152 | WA | Yes |
Practice location
107 6th Ave SwRonan, MT 59864-2634
Phone 406-676-4441 · Fax 406-676-0835
Mailing address
1200 E Columbia AveColville, WA 99114-3354
Phone 509-684-3701 · Fax 509-684-5817
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