Healthcare Provider Details

I. General information

NPI: 1710975446
Provider Name (Legal Business Name): DARIN MATTHEW ROLFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 PASTURE RD BLDG 299
FALLON NV
89406-3491
US

IV. Provider business mailing address

4755 PASTURE RD BLDG 299
FALLON NV
89406-3491
US

V. Phone/Fax

Practice location:
  • Phone: 775-426-3135
  • Fax: 775-426-3135
Mailing address:
  • Phone: 775-426-3116
  • Fax: 775-426-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00026951
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: