Individual
CARL ROBERT DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 W 38TH AVE STE 300, WHEAT RIDGE, CO 80033-4355
(303) 463-3900
(303) 463-3999
Mailing address
10403 W COLFAX AVE STE 630, LAKEWOOD, CO 80215-3812
(303) 205-1090
(303) 205-1120
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17461
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01174614
—
CO
01
—
100010928
RAILROAD MEDICARE
CO
Enumeration date
06/15/2006
Last updated
06/18/2010
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