Individual
C TERRENCE DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Mailing address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
12544
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-13816
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10817
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12544
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158930A
—
KS
05
—
100258090B
—
OK
05
—
9791
—
OK
Enumeration date
07/16/2006
Last updated
10/02/2014
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