Individual
LEO RAY VAN DOLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7078 SKYWAY, PARADISE, CA 95969
(530) 877-0700
(530) 877-0765
Mailing address
7078 SKYWAY, PARADISE, CA 95969
(530) 877-0700
(530) 877-0765
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G34839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G348390
—
CA
Enumeration date
08/15/2006
Last updated
07/08/2007
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