Gary Molk D.O. Orthopedist in Ketchikan AK

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