Dr SHELLEY DOLKAS LICKL is a female medical professional, specializing in Physician Assistant. She graduated in 2003.
NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC
1 HOAG DR
NEWPORT BEACH
CA
926634162
Tel: 9496453534
| Npi | 1760416572 |
| Pac Id | 3375532203 |
| Professional Enrollment Id | I20090508000286 |
| Last Name | DOLKAS LICKL |
| First Name | SHELLEY |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC |
| Group Practice Pac Id | 1850285735 |
| Number Of Group Practice Members | 43 |
| Line 1 Street Address | 1 HOAG DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 926634162 |
| Phone Number | 9496453534 |
| Hospital Affiliation Ccn 1 | 050224 |
| Hospital Affiliation Lbn 1 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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