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NPI Code Detail

MEDICARE: BARBARA DAHL MD

MEDICARE: BARBARA DAHL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician4981229-1205UT
2207P00000XEmergency Medicine Physician4981229-1205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477513943
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA DAHL MD
Provider Business Mailing Address
First Line : 1958 S 600 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-3051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3580 W 9000 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-8812
Country : US
Telephone Number : 801-561-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 09/21/2010

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