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DAHLSTROM, RALPH RICHARD       
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: 7841 CHARLOTTE PL
ANCHORAGE AK 99502

Address last updated on 2/13/2013
Phone #: (907) 245-1696
Fax #: (907) 245-1699
County: NOT OKLAHOMA
License: 9631
Dated: 3/8/1972
Expires: 3/1/2018
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduated: / 1967
CME Year: 2019
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 OPHTHALMOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
7841 CHARLOTTE PL
ANCHORAGE AK 99502

Phone #: (907) 245-1696
Fax #: (907) 245-1699
Mon: LOCUM TENENS ASSIGNMENTS ONLY
Tue: LOCUM TENENS ASSIGNMENTS ONLY
Wed: LOCUM TENENS ASSIGNMENTS ONLY
Thu: LOCUM TENENS ASSIGNMENTS ONLY
Fri: LOCUM TENENS ASSIGNMENTS ONLY
Sat: LOCUM TENENS ASSIGNMENTS ONLY
Sun: LOCUM TENENS ASSIGNMENTS ONLY

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