Individual
JUSTIN H STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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