Provider Demographics
NPI:1033328323
Name:MCHALE, STACI LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:STACI
Middle Name:LEIGH
Last Name:MCHALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STACI
Other - Middle Name:LEIGH
Other - Last Name:MCHALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 400476
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-0476
Mailing Address - Country:US
Mailing Address - Phone:702-740-0500
Mailing Address - Fax:702-740-0502
Practice Address - Street 1:8850 W SUNSET RD
Practice Address - Street 2:SUITE #110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4897
Practice Address - Country:US
Practice Address - Phone:702-740-0500
Practice Address - Fax:702-740-0502
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12789207V00000X
PAMT184202207V00000X
PAMD432248207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology