Individual
DR. DANIEL ALLAN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012
(602) 262-8900
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16128
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277849
—
AZ
01
—
P00401127
RAILROAD MEDICARE
AZ
Enumeration date
07/18/2006
Last updated
12/05/2018
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