NPI 1396067831

Michael Dole MD, a Professional Medical Corp.

Organisation Specialist Alexandria, LA

Practice location

Address: 5408 Provine Pl, Alexandria, LA 71303-3772
Phone: (318) 449-8333
Fax: (318) 449-8328
Mailing address: PO Box 12658, Alexandria, LA 71315-2658

Authorised official

Name: Michael W Dole
Title: Owner
Phone: (318) 449-8333

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MD.10521R (LA)

Other Specialist providers in Louisiana →

Registry record

NPI: 1396067831
Entity type: Organization
NPI issued: 25 Feb 2010
Record last updated: 27 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.