DR. Mary Dolores Dvorak, MD

NPI #1780676239 in Mountain Home a F B, Idaho

Provider Information

NPI Number: 1780676239
Entity Type: Individual
Name: DR. Mary Dolores Dvorak, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 90 HOPE DR
Address 2: 366 MDG/SGH
City: Mountain Home a F B
State: Idaho
ZIP Code: 83648-1057
Phone: (208) 828-7655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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