NPI 1982994455

Jonathan Patrick Staidle, MD

Practitioner Dermatology Physician Sparks, NV

Practice location

Address: 4814 Sparks Blvd, Sparks, NV 89436-8219
Phone: (775) 327-0699
Fax: (775) 451-7501
Mailing address: 640 W Moana Ln, Reno, NV 89509-4903

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 35-126612 (OH)

Other Dermatology providers in Nevada →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence MD457066 (PA)

Registry record

NPI: 1982994455
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2011
Record last updated: 19 Jan 2021

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.