Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 3400365102 | OH |
NPI | 1174521934 |
---|---|
Provider Name | Dr. Richard F Stahr |
First Address | Delaware, OH 43015-2157 |
Second Address | Delaware, OH 43015-2157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 14/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0606222 | (05) | OH |
A16260 | (02) | OH |