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Individual

JEFFREY D STAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 37TH ST, STE 5, WEST DES MOINES, IA 50266-1900
(515) 225-4051
(515) 225-2265
Mailing address
1300 37TH ST, STE 5, WEST DES MOINES, IA 50266-1900
(515) 225-4051
(515) 225-2265

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21464
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110076158
RAILROAD MEDICARE
IA
01
13451
BCBS
IA
05
2157859
IA
Enumeration date
08/26/2005
Last updated
10/18/2017
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