Search › Idaho › 363A00000X
Joseph Molloy
NPI 1194249110 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1210 Nw 16th St
Fruitland, ID 83619 - Phone
- (208) 452-8700
- Fax
- (208) 452-8701
- Clinicians at this address
- 25
Additional practice sites
- 8700 Beverly Blvd, West Hollywood, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho