Individual
KATHRYN STADELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2335 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-4652
Mailing address
2335 STOCKTON BLVD FL 5, SACRAMENTO, CA 95817-2201
(916) 734-4652
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A179685
CA
2086S0102X
Surgical Critical Care Physician
A179685
CA
2086S0127X
Trauma Surgery Physician
Primary
A179685
CA
Other
Enumeration date
04/02/2014
Last updated
12/09/2022
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