Organization
AZ NORTH PAIN & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL DAHL (PRESIDENT)
(928) 226-7191
Entity
Organization
Contact information
Practice address
2622 N STEVES BLVD, FLAGSTAFF, AZ 86004-3938
(928) 226-7191
Mailing address
PO BOX 2520, FLAGSTAFF, AZ 86003-2520
(928) 226-7191
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
04/03/2013
Last updated
01/14/2014
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