Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD-40903 | IA |
NPI | 1144508235 |
---|---|
Provider Name | Svjetlana Dolovcak |
First Address | Iowa City, IA 52242 |
Second Address | Iowa City, IA 52242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2011 |
Last Update Date | 02/03/2016 |