Individual
JOSEPH GREGORY DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12359250-1205
UT
208000000X
Pediatrics Physician
ML60368390
WA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
12359250-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
MT210303
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
01/11/2022
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