| Doctor Name: | BRIAN G STAHL |
| NPI Number: | 1023101169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC004138L |
| Business Practice Address: | 2690 Kingston Rd Suite 103 Easton, PA - 180458001 |
| Business Phone Number: | 6104388899 |
| Business Fax Number: | 6104388997 |
| Mailing Address: | 2690 Kingston Rd, Suite 103 EASTON |
| State: | PA |
| Postal Code: | 180458001 |
| Phone Number: | 6104388899 |
| Fax Number: | 6104388997 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC004138L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |