Organization
ALLAN J STAHL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN J STAHL MD (OWNER)
(702) 765-5793
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, STE 400, LAS VEGAS, NV 89144-0514
(702) 765-5793
(702) 254-0013
Mailing address
1930 VILLAGE CENTER CIR, #3-124, LAS VEGAS, NV 89134-6299
(702) 765-5793
(702) 254-0013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6419
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019495
—
NV
01
—
V102299
MEDICARE PTAN
NV
Enumeration date
05/03/2007
Last updated
02/05/2014
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