Organization
NEUROLOGICAL CONSULTANTS OF CAPE GIRARDEAU, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL L STAHLY D.O. (SOLE MEMBER)
(573) 334-4110
Entity
Organization
Contact information
Practice address
63 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 334-4110
(573) 334-4178
Mailing address
PO BOX 1118, CAPE GIRARDEAU, MO 63702-1118
(573) 334-4110
(573) 335-4178
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R6455
MO
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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