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DAHL, DOUGLAS DUANE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 401 15TH AVE S
SUITE 201
GREAT FALLS MT 59405

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 7753
Dated: 6/19/1962
Expires: 6/1/1997
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of WI Sch of Med & Public Hlth, Madison, WI
Graduated: / 1958
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
401 15TH AVE S
SUITE 201
GREAT FALLS MT 59405

Phone #:
Fax #:

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