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General NPI Number Information
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NPI Number | 1013900844
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Entity Type | Individual
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Provider Name | JEFFREY D STAHL MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 1300 37TH ST STE 5
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1900
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Country | US
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Telephone | 515-225-4051
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Fax | 515-225-2265
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Provider Business Mailing Address
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Address Line | 1300 37TH ST STE 5
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1900
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Country | US
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Telephone | 515-225-4051
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Fax | 515-225-2265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 21464
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License Number State | IA
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