Individual
DR. RICHARD W STAHLHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
194 W GREEN MEADOWS RD, COLUMBIA, MO 65203-3635
(585) 752-8883
Mailing address
194 W GREEN MEADOWS RD, COLUMBIA, MO 65203-3635
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
01031951A
IN
2083P0901X
Public Health & General Preventive Medicine Physician
01031951A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01031951A
STATE OF INDIANA PHYSICIAN LICENSE NUMBER
IN
Enumeration date
09/20/2006
Last updated
10/10/2014
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