Provider Demographics
NPI:1043493075
Name:STAHL, ELIZABETE M (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETE
Middle Name:M
Last Name:STAHL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELIZABETE
Other - Middle Name:M
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:P.O. BOX 2500
Mailing Address - Street 2:
Mailing Address - City:WHITE DEER
Mailing Address - State:PA
Mailing Address - Zip Code:17887
Mailing Address - Country:US
Mailing Address - Phone:570-547-7950
Mailing Address - Fax:570-547-7710
Practice Address - Street 1:ROUTE 15, 2 MILES NORTH OF ALLENWOOD
Practice Address - Street 2:
Practice Address - City:WHITE DEER
Practice Address - State:PA
Practice Address - Zip Code:17887
Practice Address - Country:US
Practice Address - Phone:570-547-7950
Practice Address - Fax:570-547-7710
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014107207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics