Individual
GREGORY ROBERT DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 232-0021
Mailing address
4266 S WILLOWBROOK CT, TERRE HAUTE, IN 47802-8789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01038616
IN
208D00000X
General Practice Physician
Primary
01038616A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327093
BSIN
IN
01
—
00194834
MEDICARE TRAVELERS RR-GA
IN
05
—
200024130A
—
IN
Enumeration date
06/06/2006
Last updated
05/21/2019
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