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Individual

DR. PATRICK H DOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17050 BAXTER RD, CHESTERFIELD SURGERY CTR - SUITE 110, CHESTERFIELD, MO 63005-1422
(636) 537-0122
(636) 537-0480
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 200-4243

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R6A78
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201733615
MO
Enumeration date
06/16/2005
Last updated
10/27/2016
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