Individual
DR. RALPH DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
542 W 2ND AVE, ANCHORAGE, AK 99501-2208
(907) 276-1617
(907) 264-2687
Mailing address
542 W 2ND AVE, ANCHORAGE, AK 99501-2208
(907) 276-1617
(907) 264-2687
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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