Dara Jolly
Obstetrician
1412 Sw 43rd St Suite 200
Renton
, Washington 98057-4803
Dara Jolly
Obstetrician
1412 Sw 43rd St Suite 200
Renton
, Washington 98057-4803
(425) 264-1041
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dara Jolly
- 1412 Sw 43rd St Suite 200
- Renton, WA
- Zip : 98057-4803
- Fax : (425) 264-1041
- Phone : (425) 271-4910
Second Address
- Dara Jolly
- 1412 Sw 43rd St Suite 200
- Renton, WA
- Zip : 98057-4803
- Fax : (425) 264-1041
- Phone : (425) 271-4910
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | MD00048853 | WA |
National Provider Identifier
| NPI | 1255549507 |
|---|---|
| Provider Name | Dara Jolly |
| First Address | Renton, WA 98057-4803 |
| Second Address | Renton, WA 98057-4803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2007 |
| Last Update Date | 22/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.