Provider Demographics
NPI:1649205451
Name:DAHL, DONA CHIMENE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONA
Middle Name:CHIMENE
Last Name:DAHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 ZIMMERMAN TRL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7652
Mailing Address - Country:US
Mailing Address - Phone:406-248-3607
Mailing Address - Fax:406-248-8919
Practice Address - Street 1:1611 ZIMMERMAN TRL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7652
Practice Address - Country:US
Practice Address - Phone:406-248-3607
Practice Address - Fax:406-248-8919
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8220207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY118440700Medicaid
MTP00022241OtherRR MEDICARE
MT000083274OtherMEDICARE
MT0061676Medicaid
WY118440700Medicaid