# DR. ELLIOTT CHANDLER DASENBROOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780772632
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0065050 | MD | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | D0065050 | MD | — |
| 207RP1001X | Pulmonary Disease Physician | 35-094125 | OH | Yes |
| 207RP1001X | Pulmonary Disease Physician | D0065050 | MD | — |
| 2080P0214X | Pediatric Pulmonology Physician | 35-094125 | OH | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 06/28/2011