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Individual

DR. THOMAS R STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3140 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6395
(937) 426-2212
(937) 426-3975
Mailing address
3140 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6395
(937) 426-2212
(937) 426-3975

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2647
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000330227
ANTHEM
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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