Individual
RICHARD THOMAS DAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2419 MULLAN RD, MISSOULA, MT 59808
(406) 721-4906
Mailing address
1800 CREEKSIDE CT, MISSOULA, MT 59808-9065
(406) 542-3316
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
10514
MT
2085R0202X
Diagnostic Radiology Physician
Primary
10514
MT
2085R0202X
Diagnostic Radiology Physician
MD60705352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041751
—
WA
01
—
1972542173
NPI
MT
Enumeration date
06/05/2006
Last updated
11/13/2019
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