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Individual
DR. ELLIOTT CHANDLER DASENBROOK
Active
Individual
DR. ELLIOTT CHANDLER DASENBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0065050
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0065050
MD
207RP1001X
Pulmonary Disease Physician
Primary
35-094125
OH
207RP1001X
Pulmonary Disease Physician
D0065050
MD
2080P0214X
Pediatric Pulmonology Physician
35-094125
OH
Other
Enumeration date
10/10/2006
Last updated
06/28/2011
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