Individual
DR. ROGER JOHN GSTALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 S BELCHER RD, CLEARWATER, FL 33764-6301
(727) 799-3772
(727) 797-2957
Mailing address
2031 LITTLE ROAD, NEW PORT RICHEY, FL 34655-1294
(727) 375-0300
(727) 375-1240
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 17041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255271000
—
FL
Enumeration date
06/20/2005
Last updated
07/08/2007
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