Organization
DAVID E. DOLLENS, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWIN DOLLENS MD (OWNER)
(812) 522-2700
Entity
Organization
Contact information
Practice address
209 S WALNUT ST, SEYMOUR, IN 47274-2311
(812) 522-2700
(812) 522-1057
Mailing address
PO BOX 968, SEYMOUR, IN 47274-0968
(812) 522-2700
(812) 522-1057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027033A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000101760
ANTHEM
IN
Enumeration date
02/12/2007
Last updated
08/22/2020
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