Individual
DAVID J STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6170
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-1378
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-26835
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2008007459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100301600A
—
KS
05
—
204997803
—
MO
01
—
701000302
MEDICARE
MO
Enumeration date
03/15/2006
Last updated
10/30/2017
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