THEODORE EDMUND STAAHL

MODESTO, CA
NPI1295896041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CA  G037452)
Enumeration Date2006-12-13
Last Update Date2007-07-09
Business Address
-- THEODORE EDMUND STAAHL M.D.
1329 SPANOS CT STE A-1
MODESTO, CA 95355-2806
Phone number: 209-577-5700
Mailing Address
-- THEODORE EDMUND STAAHL M.D.
1329 SPANOS CT STE A-1
MODESTO, CA 95355-2806
Phone number: 209-577-5700
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