Individual
RICHARD D STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
916 KOALA AVE, OMAK, WA 98841-9576
(509) 826-1800
Mailing address
PO BOX 2087, WENATCHEE, WA 98807-2087
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004944
WA
363A00000X
Physician Assistant
PA557
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301978
L&I
WA
05
—
1760448294
—
WA
01
—
P01141753
RR MEDICARE
WA
Enumeration date
04/24/2006
Last updated
05/31/2013
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