Randall L Stahly in Cape Girardeau - Neurology

Randall L Stahly - NPI 1649320532

Randall L Stahly is a Neurology in Cape Girardeau, Missouri. Randall L Stahly practices all healthcare services and medical treatments related to Neurology. The NPI Number for Randall L Stahly is 1649320532. The last update date is 2021-02-26.

Randall L Stahly's current location address is 3004 Gordonville Rd, Cape Girardeau, Missouri. You can contact this provider via phone number 5733321972 and fax number 5733344667. The mailing address for Randall L Stahly is 3004 Gordonville Rd, Cape Girardeau, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall L Stahly
Address 3004 Gordonville Rd, Cape Girardeau, Missouri
Phone Number 5733321972
Fax Number 5733344667
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1649320532
Provider Enumeration Date 2007-01-11
Last Updated Date 2021-02-26

Provider Mailing Address Detail

Address 3004 Gordonville Rd
City Cape Girardeau
State Missouri (MO)
Post Code 637035008
Phone Number 5733321972
Fax Number 5733344667

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No R6455
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
240926832 MO --

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FAQs about Randall L Stahly

What is the unique provider identifier assigned to Randall L Stahly?

The Randall L Stahly has been issued the NPI (National Provider Identifier) 1649320532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Randall L Stahly is physically located?

The Randall L Stahly is physically situated at the following address: 3004 Gordonville Rd, Cape Girardeau, MO, 637035008.

What is Randall L Stahly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randall L Stahly is Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0400X.

On what date did the Randall L Stahly receive the assignment of its 1649320532 from the Centers for Medicare & Medicaid Services?

The Randall L Stahly was issued its 1649320532 by the Centers for Medicare & Medicaid Services on 2007-01-11.

As of what date were the Randall L Stahly's details last updated?

The information pertaining to the Randall L Stahly, including its address, specialty, and other details, was most recently updated on 2021-02-26.

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