Theodore Edmund Staahl, M.D. is a specialist in Modesto, CA with 53 years of experience. The provider is 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. Theodore Edmund Staahl, M.D. NPI is 1295896041. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1329 SPANOS CT STE A-1
MODESTO, CA
ZIP 95355-806
Phone: (209) 577-5700
Fax: (209) 577-5968
The NPI 1295896041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/9/2007.