Organization · Type 2 NPI
Theodore E. Staahl MD Inc
Medical Specialty Clinic/Center · Modesto, CA
Practice location
1329 Spanos Ct, Suite A-1
Modesto, CA 95355-2806
Fax (209) 577-5968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | G37452 (CA) |
Medical Specialty Clinic/Center: 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).
3 other providers at this address
Other medical specialty clinic/center providers in Modesto
About NPI 1467767541
Theodore E. Staahl MD Inc's National Provider Identifier is 1467767541, issued on Aug 12, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Modesto, CA. The record was last updated on Nov 9, 2022.