NPI 1194519025

Glenn Dolezal

Practitioner Peer Specialist Sparks, NV

Practice location

Address: 1755 Sullivan Ln, Sparks, NV 89431-2815
Phone: (775) 460-2041
Fax: (775) 460-2079

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1194519025
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2025
Record last updated: 7 Apr 2025

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.