Individual
MR. ROGER WAYNE STAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
99 N 300 W, SPANISH FORK, UT 84660-1716
(801) 798-4060
(801) 798-4004
Mailing address
99 N 300 W, SPANISH FORK, UT 84660-1716
(801) 798-4060
(801) 798-4004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6309692-4810
UT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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