Individual
DR. DOUGLAS CRAIG DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
(406) 756-8420
(406) 756-0119
Mailing address
20 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
(406) 756-8420
(406) 756-0119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MT 518T
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048-3157
—
MT
05
—
055-1038
—
MT
Enumeration date
03/24/2006
Last updated
07/09/2007
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