THEODORE E. STAAHL MD INC

NPI # 

Practice Address:

1329 Spanos Ct , Suite A-1

Modesto, CA, 95355-2806

Practice Phone:

209-577-5700

Practice Fax:

209-577-5968

License Number:

G37452

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Medical Specialty

Taxonomy Code:

261QM2500X

Updated by NPPES on 11/9/2022. You can view the original data set for NPI # 1467767541 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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