Individual
KATIE A. DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8040 S VIRGINIA ST STE 4, RENO, NV 89511-8939
(775) 770-7480
(775) 770-7499
Mailing address
411 W 6TH ST, RENO, NV 89503-4415
(775) 770-7600
(775) 770-7880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8713
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016495
—
NV
01
—
11176803
CAQH
—
01
—
80124583
RAILROAD MEDICARE
NV
Enumeration date
02/09/2006
Last updated
02/15/2019
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