Basic Information
| Provider Information | |||||||||
| NPI: | 1891282646 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAHMS | ||||||||
| FirstName: | BRYAN | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12039 E MAPLE SPRINGS WAY | ||||||||
| Address2: | STE A | ||||||||
| City: | PALMER | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996459648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077459088 | ||||||||
| FaxNumber: | 9077459099 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 23RD AVE | ||||||||
| Address2: | |||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806346070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9708102424 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2018 | ||||||||
| LastUpdateDate: | 08/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | TL.0007181 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.