Organization
DAVID STAHL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D STAHL MD (OWNER)
(716) 735-7774
Entity
Organization
Contact information
Practice address
21 N MAIN ST, MIDDLEPORT, NY 14105-1027
(716) 735-7774
(716) 735-3036
Mailing address
21 N MAIN ST, MIDDLEPORT, NY 14105-1027
(716) 735-7774
(716) 735-3036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
142618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005084881
DAVE WNY BC
NY
05
—
00737173
—
NY
01
—
0401199
DAVE IH
NY
Enumeration date
02/06/2007
Last updated
08/14/2023
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