Individual
JOHN STACHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008-2207
(719) 564-1544
(719) 924-1593
Mailing address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008-2207
(719) 564-1544
(719) 924-1593
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21084
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210848
—
CO
01
—
P00986968
RAILROAD MEDICARE
CO
Enumeration date
06/02/2006
Last updated
07/23/2013
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