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Organization

ROCK VALLEY PATHOLOGIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS DOLLETON MD (PRESIDENT)
(815) 395-5110
Entity
Organization

Contact information

Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5105
(815) 395-5364
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5105
(815) 395-5364

Taxonomy

Speciality
Code
Description
License number
State
207ZP0104X
Chemical Pathology Physician
Primary

Other

Enumeration date
08/18/2006
Last updated
07/16/2007
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