Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A139933 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD61187093 | WA |
NPI | 1235559048 |
---|---|
Provider Name | Molly Dahl |
First Address | Spokane, WA 99201-2217 |
Second Address | Spokane, WA 99201-2217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 18/11/2021 |