Individual
JOHN KEITH DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-2200
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-12929
IA
Other
Enumeration date
05/15/2023
Last updated
06/20/2023
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