Samantha Mollman PA-C
Physician Assistant in Bismarck, ND(View on Map)
Full Name
Samantha Mollman PA-C
NPI Number
1043612609
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/25/2014
Specialties
(Taxonomies)Licenses
State
Colorado
North Dakota
License Number
PA0004002
PAC0726
Contact
Information
Purpose
Mailing
Location
Address
310 N 10TH ST
310 N 10TH ST
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58501-4516
58501-4516
Country
US
US
Telephone Number
(701) 530-7500
(701) 530-7500
Identifiers
Identifier
P01579435
Identifier State
Unknown
Identifier Issuer
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/04/2024