Provider Demographics
NPI:1790766731
Name:MOLOFF, ALAN LAWRENCE (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LAWRENCE
Last Name:MOLOFF
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:14 STAFF POST RD
Mailing Address - Street 2:
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-1304
Mailing Address - Country:US
Mailing Address - Phone:210-221-2109
Mailing Address - Fax:210-221-2239
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:MCHE-QD (CREDS)
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-2460
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT032-00003072083A0100X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Not Answered2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine