Provider Demographics
NPI:1215901798
Name:DAHL, STEVEN I (MD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:I
Last Name:DAHL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1520 SOUTH DOBSON RD
Mailing Address - Street 2:STE 210
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202
Mailing Address - Country:US
Mailing Address - Phone:480-898-8593
Mailing Address - Fax:480-898-7531
Practice Address - Street 1:1520 SOUTH DOBSON RD
Practice Address - Street 2:STE 210
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202
Practice Address - Country:US
Practice Address - Phone:480-898-8593
Practice Address - Fax:480-898-7531
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ14605207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ286329Medicaid
0000BGMCHMedicare ID - Type Unspecified
C99329Medicare UPIN