| Doctor Name: | WILLIAM O. STAHL |
| NPI Number: | 1154390896 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00028027 |
| Business Practice Address: | 1615 Delaware St Longview, WA - 986322310 |
| Business Phone Number: | 3604142332 |
| Business Fax Number: | 3604142330 |
| Mailing Address: | Po Box 3002, LONGVIEW |
| State: | WA |
| Postal Code: | 986320302 |
| Phone Number: | 3604142048 |
| Fax Number: | 3605756749 |
| NPI Enumeration Date: | 03/15/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00028027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |