SearchIdahoPhysician Assistant

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
26

Additional practice sites

  • 8700 Beverly Blvd, West Hollywood, CA

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
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