Doctor Name: | DR. STEPHEN M STAHL |
NPI Number: | 1710144167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G34507 |
Business Practice Address: | 1930 Palomar Point Way Suite 103 Carlsbad, CA - 920085579 |
Business Phone Number: | 7604449065 |
Business Fax Number: | 7609318857 |
Mailing Address: | 1930 Palomar Point Way, Suite 103 CARLSBAD |
State: | CA |
Postal Code: | 920085579 |
Phone Number: | 7604449065 |
Fax Number: | 7609318857 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G34507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |