Individual
BILL STAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2320 FREEWAY DR, MOUNT VERNON, WA 98273-5445
(360) 814-6800
(360) 814-6953
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-6052
ID
363AS0400X
Surgical Physician Assistant
PA01128
OR
363AS0400X
Surgical Physician Assistant
Primary
PA61078913
WA
Other
Enumeration date
06/02/2006
Last updated
03/24/2022
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