Individual
DR. BRIAN RAY STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4235 INDIAN RIPPLE RD, STE 100, BEAVERCREEK, OH 45440-3247
(937) 427-2020
(937) 429-1144
Mailing address
4235 INDIAN RIPPLE RD, STE 100, BEAVERCREEK, OH 45440-3247
(937) 427-2020
(937) 429-1144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-05-9013-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0875361
—
OH
Enumeration date
08/11/2005
Last updated
06/20/2011
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