MEDICARE: DANIEL POWELL DOLAN MD, MPH

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	78305	AZ
2	208600000X	Surgery Physician	78305	AZ

General Provider Information

NPI Number	:	1518329689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL POWELL DOLAN MD, MPH

Provider Business Mailing Address
First Line	:	2946 E BANNER GATEWAY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2165
Country	:	US
Telephone Number	:	513-939-8389
Fax Number	:

Provider Business Practice Location Address
First Line	:	2946 E BANNER GATEWAY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2165
Country	:	US
Telephone Number	:	513-939-8389
Fax Number	:

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

Provider Enumeration Date	:	03/28/2016
Last Update Date	:	01/12/2026

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