Healthcare Provider Details

I. General information

NPI: 1285965145
Provider Name (Legal Business Name): HAROLD I DOBBS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23237 US HIGHWAY 6 UNIT 2
DILLON CO
80435-7795
US

IV. Provider business mailing address

23237 US HIGHWAY 6 UNIT 2
DILLON CO
80435-7795
US

V. Phone/Fax

Practice location:
  • Phone: 970-513-1757
  • Fax:
Mailing address:
  • Phone: 970-513-1757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number15311-020
License Number StateWI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: