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Individual

YALE DOUGLAS DOLGINOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
91 BLUE CREEK OVERLOOK, CARBONDALE, CO 81623-9793
(301) 266-8503
Mailing address
PO BOX 3314, BASALT, CO 81621-3314
(301) 266-8503

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
D0048321
MD
207ZC0006X
Clinical Pathology Physician
Primary
G41081
CA

Other

Enumeration date
07/10/2012
Last updated
07/10/2012
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