# C TERRENCE DOLAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962429787
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZM0300X | Medical Microbiology Physician | 12544 | OK | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 04-13816 | KS | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 10817 | NE | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 12544 | OK | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 10/02/2014