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Individual

ALLAN JEFFREY STAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
653 N TOWN CENTER DR, SUITE 400, LAS VEGAS, NV 89144-0514
(702) 765-5793
(702) 254-0013
Mailing address
653 N TOWN CENTER DR, SUITE 400, LAS VEGAS, NV 89144-0514
(702) 765-5793
(702) 254-0013

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6419
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019495
NV
Enumeration date
05/09/2006
Last updated
04/28/2014
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