Organization
ROCK VALLEY PATHOLOGIST
Active
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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