Whalio Doctors

NPI 1548291354

Frederick J Dahl, RRAARRTRRPA

Practitioner Radiology Practitioner Assistant Tupelo, MS

Practice location

Address
830 S Gloster St, Tupelo, MS 38801-4996
Phone
(662) 377-5232
Mailing address
111 Jean Jane Ln, Tupelo, MS 38804-9113

Registered specialties (3)

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence RA00005 (MS)
Radiology Practitioner Assistant
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 09125 (MA)
Vascular-Interventional Technology Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471V0106X Licence 09125 (MA)

Registry record

NPI
1548291354
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jul 2006
Record last updated
29 Jan 2025

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.