SearchWashington1223G0001X

Gannon Stahl, DDS

NPI 1598959413 · on the registry since 2007

Practice

Address
14030 Ne 24th St Ste 100
Bellevue, WA 98007
Phone
(425) 641-3668
Fax
(425) 747-7611
Organisation at this address
G. B. Stahl, Dds, Pllc
Eastside Dermatology Inc Ps
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington