Gary Molk D.O. is an orthopedic with a current address of 3100 Tongass Ave Ketchikan AK 9-9901. The NPI is 1629233895, and the license number is 8512A (WY). It was issued on 07/27/2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on 07/30/2019.
Gary Molk D.O. can be reached by phone at 9072288111, by mail at 1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004, or by fax at 3607293104.
Name: Gary Molk D.O.
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: No
Gender: Male
Practice Location Address:
3100 Tongass Ave
Ketchikan
AK 9-9901
Telephone Number: 9072288111
Fax Number: 9072288323
Mailing Address:
1115 Se 164th Ave Dept 358
Vancouver
WA 98683-8004
Telephone Number: 3607291462
Fax Number: 3607293104
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1629233895
Enumeration Date: 07/27/2008
Last Update: 07/30/2019
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 8512A
License State: WY
Other Taxonomy (if any):
207XX0801X
8512A
WY
N
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier: 1629233895
Code Type: 5
Identifier State: WY
Identifier Issuer:
Other Identifiers (if any):
1350
1
WY
WY LICENSE