NPI 1962076257 · live from the CMS NPI Registry
Jonathan Andrew Dolata, MD
Family Medicine in Casper, WY. National Provider Identifier 1962076257, active.
NPI record
| NPI | 1962076257 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1522 E A St, Casper, WY 82601 |
| Practice phone | 307-234-6161 |
| Enumerated | May 19, 2021 |
| Last updated | June 30, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (WY) |
| Family Medicine primary | 207Q00000X | 185-T1 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.