Thomas Wayne Dolan CO

NPI 1245461771 - Orthotist - 222Z00000X

NPI Details
NPI 1245461771
Gender Male
Enumeration Date 07/31/2009
Last Updated 03/10/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
623 N MAIN ST
ORANGE CA, 92868-1103, US
Phone (714) 937-1998
Fax (714) 937-1994
Business Location
623 N MAIN ST
ORANGE CA, 92868-1103, US
Phone (714) 937-1998
Fax (714) 937-1994
Toxanomy
Taxonomy Code 222Z00000X
License State California
License Number CO001146
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According to our database, Mr. Thomas Wayne Dolan CO NPI is 1245461771, taxonomy code is 222Z00000X and license number is CO001146, license state is located at California. Thomas Wayne Dolan CO physically located at 623 N Main St, Orange CA, 92868-1103. NPI Number Thomas Wayne Dolan CO has the Individual type.

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1245461771 NPI number is provided on an as is basis without warranty of any kind. 1245461771 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Wayne Dolan CO are for informational purposes only.