MEDICARE: BRITTANY MARIE DOLL

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	207R00000X	Internal Medicine Physician	125.082270	IL

General Provider Information

NPI Number	:	1326731993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MARIE DOLL

Provider Business Mailing Address
First Line	:	1305 W 18TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-0401
Country	:	US
Telephone Number	:	605-357-1306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 W 18TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-0401
Country	:	US
Telephone Number	:	605-357-1306
Fax Number	:

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

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	06/23/2026

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Directions to “ BRITTANY MARIE DOLL ” Practice Location

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