Individual provider · Type 1 NPI

Theodore Edmund Staahl, MD

Specialist · Modesto, CA

NPI number 1295896041 Active

Practice location

1329 Spanos Ct Ste A-1
Modesto, CA 95355-2806

Call (209) 577-5700 Map

Fax (209) 577-5968

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG037452 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295896041

Theodore Edmund Staahl, MD's National Provider Identifier is 1295896041, issued on Dec 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Nov 1, 2026.