Individual
EDWARD E STAHEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 AUDUBON AVE, SUITE N5, THIBODAUX, LA 70301-4957
(985) 446-0506
(985) 446-7614
Mailing address
1101 AUDUBON AVE, SUITE N5, THIBODAUX, LA 70301-4957
(985) 446-0506
(985) 446-7614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
011264
LA
207W00000X
Ophthalmology Physician
15827
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119257
—
MS
05
—
1316695
—
LA
Enumeration date
03/20/2006
Last updated
10/23/2012
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