MEDICARE: DR. DARIN MATTHEW ROLFE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	00026951	AL

General Provider Information

NPI Number	:	1710975446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIN MATTHEW ROLFE M.D.

Provider Business Mailing Address
First Line	:	4755 PASTURE RD BLDG 299
Second Line	:
City	:	FALLON
State	:	NV
Zip	:	89406-3491
Country	:	US
Telephone Number	:	775-426-3116
Fax Number	:	775-426-3135

Provider Business Practice Location Address
First Line	:	4755 PASTURE RD BLDG 299
Second Line	:
City	:	FALLON
State	:	NV
Zip	:	89406-3491
Country	:	US
Telephone Number	:	775-426-3135
Fax Number	:	775-426-3135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	06/15/2022

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