Provider Demographics
NPI:1205830627
Name:STAHL, JASON E (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:STAHL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8300 COLLEGE BLVD.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210
Mailing Address - Country:US
Mailing Address - Phone:913-491-3330
Mailing Address - Fax:913-491-9650
Practice Address - Street 1:8300 COLLEGE BLVD.
Practice Address - Street 2:SUITE 201
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:913-491-3330
Practice Address - Fax:913-491-9650
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2019-02-28
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Provider Licenses
StateLicense IDTaxonomies
KS04-28638207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology