Individual
DR. KATHARINE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2545 E THOMAS RD STE 120, PHOENIX, AZ 85016
(026) 419-3378
(602) 595-1528
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35343
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145459
—
AZ
01
—
35343
MEDICAL LICENSE
AZ
Enumeration date
06/21/2006
Last updated
06/08/2018
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