Individual provider · Type 1 NPI

Jonathan Patrick Staidle, MD

Dermatology Physician · Sparks, NV

NPI number 1982994455 Active

Practice location

4814 Sparks Blvd
Sparks, NV 89436-8219

Fax (775) 451-7501

Mailing address

640 W Moana Ln
Reno, NV 89509-4903

Other practice locations

  • 607 S Maine St, Fallon, NV 89406-3801 · (775) 324-0699
  • 640 W Moana Ln, Reno, NV 89509-4903 · (775) 324-0699

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101XMD457066 (PA)
Dermatology Physician Primary 207N00000X35-126612 (OH)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

2 other providers at this address

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About NPI 1982994455

Jonathan Patrick Staidle, MD's National Provider Identifier is 1982994455, issued on Apr 18, 2011. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Sparks, NV. The record was last updated on Jan 19, 2021.