Individual
DR. RALPH DAHLSTROM
Active
Individual
DR. RALPH DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6199
AK
207W00000X
Ophthalmology Physician
70-30
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0725950001
PALMETTO MEDICARE GROUP
NM
01
—
14052
PRESBYTERIAN
NM
01
—
180043761
RAILROAD MEDICARE
NM
01
—
4201
BC-BS
NM
01
—
5681
LOVELACE
NM
05
—
6577
—
NM
01
—
85-0469981-002
CIMARRON
NM
01
—
850482482
LOVELACE HMO & SALUD
NM
01
—
850482482-01
CIMARRON HMO & SALUD
NM
Enumeration date
04/13/2007
Last updated
01/28/2009
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