Provider Demographics
NPI:1982854519
Name:DAHL, DANIEL JOHN (MS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOHN
Last Name:DAHL
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Gender:M
Credentials:MS, PA-C
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Mailing Address - Street 1:3865 CHERRY CREEK NORTH DR
Mailing Address - Street 2:SUITE 322
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3803
Mailing Address - Country:US
Mailing Address - Phone:303-388-6410
Mailing Address - Fax:303-388-1069
Practice Address - Street 1:3865 CHERRY CREEK NORTH DR
Practice Address - Street 2:SUITE 322
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3803
Practice Address - Country:US
Practice Address - Phone:303-388-6410
Practice Address - Fax:303-388-1069
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
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Provider Licenses
StateLicense IDTaxonomies
COPA-2677363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical