NPI 1093406704

John Keith Dahl

Practitioner Family Medicine Physician Meridian, ID

Practice location

Address: 4949 S Hillsdale Ave, Meridian, ID 83642-7586
Phone: (208) 706-6400
Fax: (208) 706-6411
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2571382 (ID)

Other Family Medicine providers in Idaho →

Registry record

NPI: 1093406704
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2023
Record last updated: 6 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.