Most Relevant Information
Provider Data
| NPI Number: | 1003067745 |
| Provider Name: | JEREMIAH MOLES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | A112009 |
Most Important Dates
| Enumeration Date: | 09/30/2008 |
| Last Updated: | 04/15/2013 |
Provider Practice Location
5565 GROSSMONT CENTER DR
BLDG 3 SUITE 101
LA MESA
CA
919423020
Practice Location Phone/Fax
| Phone: | 6194643353 |
| Fax: | 6194646720 |
Provider Mailing Location
5565 GROSSMONT CENTER DR
BLDG 3 SUITE 101
LA MESA
CA
919423020
Provider Mailing Phone/Fax
| Phone: | 6194643353 |
| Fax: | 6194646720 |
Suggested EMR
ENT EMR