Individual
PHILIP STEPHEN STAEHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
710 W MAIN ST, PRINCETON, MO 64673-1141
(660) 748-7730
(660) 748-7733
Mailing address
1109 S 15TH ST, BETHANY, MO 64424-2415
(660) 425-6459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029953
MO
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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