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Individual

DR. THOMAS EDWARD DAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., F.I,A.C.A

Contact information

Practice address
3414 W UNION HILLS DR, STE 13, PHOENIX, AZ 85027-4899
(623) 582-6141
(623) 581-1924
Mailing address
3414 W UNION HILLS DR, STE 13, PHOENIX, AZ 85027-4899
(623) 582-6141
(623) 581-1924

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4405
AZ
171100000X
Acupuncturist
124
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-07-4405
WORKERS COMPENSATION
AZ
01
860616603
FEDERAL TAX ID
AZ
01
AZ0246870
BC/BS OF AZ
AZ
Enumeration date
07/17/2006
Last updated
04/21/2010
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