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Theodore E. Staahl Md Inc
Medical Specialty Clinic/Center in Modesto, California
NPI 1467767541

Theodore E. Staahl Md Inc is a Medical Specialty Clinic/Center based in Modesto, CA and is specialized in Medical Specialty. Theodore E. Staahl Md Inc practices in Modesto, CA. The NPI Number for Theodore E. Staahl Md Inc is 1467767541 and holds a License No. G37452 (California).

The current practice location address for Theodore E. Staahl Md Inc is 1329 Spanos Ct, Modesto, CA and can be reached out via phone at 209-577-5700 and via fax at 209-577-5968.

Location: 1329 Spanos Ct, Modesto, CA, 95355-2806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467767541
Provider Name
Theodore E. Staahl Md Inc
Credential
Provider Entity Type
Organization
Address
1329 Spanos Ct, Modesto, CA, 95355-2806
Phone Number
209-577-5700
Fax Number
209-577-5968
Provider Enumeration Date
08/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1329 Spanos Ct
City
Modesto
State
California
Zip
95355-2806
Phone Number
209-577-5700
Fax Number
209-577-5968
person
Provider Business Mailing Address Details
Address
1329 Spanos Ct
City
Modesto
State
California
Zip
95355-2806
Phone Number
209-577-5700
Fax Number
209-577-5968
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G37452 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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