Female

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)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

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

Provider Address

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