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NPI Code Detail

MEDICARE: PATRICIA DAHL M.D.

MEDICARE: PATRICIA DAHL M.D.
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
1207R00000XInternal Medicine PhysicianG37658CA

General Provider Information

NPI Number : 1639242696
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA DAHL M.D.
Provider Business Mailing Address
First Line : 717 CENTER ST
Second Line :
City : HEALDSBURG
State : CA
Zip : 95448-3604
Country : US
Telephone Number : 707-433-7258
Fax Number : 707-433-8807
Provider Business Practice Location Address
First Line : 717 CENTER ST
Second Line :
City : HEALDSBURG
State : CA
Zip : 95448-3604
Country : US
Telephone Number : 707-433-7258
Fax Number : 707-433-8807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 02/09/2015

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Directions to “ PATRICIA DAHL M.D.” Practice Location

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