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Individual

JUSTIN H STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00045050
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039590
LABOR AND INDUSTRIES #
WA
01
6151ST
BLUE SHIELD #
WA
05
8443038
WA
01
P00262969
RAILROAD MC#
WA
01
US7022709
AETNA SPECIALIST PIN
WA
Enumeration date
10/11/2006
Last updated
10/09/2008
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