THEODORE E. STAAHL MD INC is a medical specialty clinic center in Modesto, CA. The provider is 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). THEODORE E. STAAHL MD INC NPI is 1467767541. The provider is registered as an organization entity type.
The provider Other Name Is Md Laser Center.
The provider's business location address is:
1329 SPANOS CT
SUITE A-1
MODESTO, CA
ZIP 95355-806
Phone: (209) 577-5700
Fax: (209) 577-5968
The provider's authorized official is Nancy Staahl .
The authorized official title is Administrator/office Manager and has the following contact phone number (209) 577-5700.
The enumeration date for this NPI number is 8/12/2010 and was last updated on 8/12/2010.