Rock Valley Pathologist

NPI #1891809752 in Rockford, Illinois

Provider Information

NPI Number: 1891809752
Entity Type: Organization
Organization Name: Rock Valley Pathologist
Primary Specialty: Pathology - Chemical Pathology
Enumeration Date: Aug 18, 2006
Last Updated: Jul 16, 2007

Practice Location

Address: 5666 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2425
Phone: (815) 395-5105

Authorized Official

Name: DR. DENNIS DOLLETON, MD
Title: PRESIDENT
Phone: (815) 395-5110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Chemical Pathology — Chemical Pathology	207ZP0104X	Primary

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