Individual
DR. EARL WARREN STADLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 THREE KINGS DRIVE UNIT 31, PARK CITY, UT 84060
(435) 649-4975
Mailing address
PO BOX 681599, PARK CITY, UT 84068-1599
(435) 649-4975
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
172322-1205
UT
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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