NPI 1871310102

David L Stahlecker

Practitioner Lodging Provider Pocatello, ID

Practice location

Address: 629 N Harrison Ave, Pocatello, ID 83204-2935
Phone: (208) 232-9468
Mailing address: 206 N Arthur Ave, Pocatello, ID 83204-3104

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

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Registry record

NPI: 1871310102
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2024
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.