Individual
WILLIAM O. STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2332
(360) 414-2330
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00028027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164152
LABOR & IND.
WA
05
—
177527
—
OR
05
—
8120339
—
WA
01
—
8933313
CRIME VICTIMS
WA
Enumeration date
03/15/2006
Last updated
07/09/2007
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