Individual provider · Type 1 NPI

Joseph E. Molloy

Physician Assistant · Fruitland, ID

NPI number 1194249110 Active

Practice location

1210 NW 16th St
Fruitland, ID 83619-2202

Call (208) 452-8700 Map

Fax (208) 452-8701

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 8700 Beverly Blvd, West Hollywood, CA 90048-1804 · (310) 423-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA57157 (CA)
Physician Assistant Primary 363A00000X1671360 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194249110

Joseph E. Molloy's National Provider Identifier is 1194249110, issued on Aug 1, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fruitland, ID. The record was last updated on Aug 27, 2025.