Provider Demographics
NPI:1194216366
Name:DORROH, MOLLY BURGER (DO)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:BURGER
Last Name:DORROH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MOLLY
Other - Middle Name:WOODS
Other - Last Name:BURGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3209 S 23RD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1602
Mailing Address - Country:US
Mailing Address - Phone:253-301-5560
Mailing Address - Fax:
Practice Address - Street 1:3209 S 23RD ST STE 300
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1602
Practice Address - Country:US
Practice Address - Phone:253-301-5560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADO.DO.61537859207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology