| Organization Name: | CHARLES K. DAHLGREN, M.D., CORP |
| NPI Number: | 1053581470 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES KENNETH DAHLGREN (OWNER) |
| Mailing Address: | 1995 Errecart Blvd Ste 109 Elko |
| State: | NV US |
| Postal Code: | 898018336 |
| Phone Number: | 7757382555 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0602X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngic Allergy |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |