Jonathan Patrick Staidle, M.D.

NPI #1982994455 in Sparks, Nevada

Provider Information

NPI Number: 1982994455
Entity Type: Individual
Name: Jonathan Patrick Staidle, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Apr 18, 2011
Last Updated: Jan 19, 2021

Practice Location

Address: 4814 SPARKS BLVD
City: Sparks
State: Nevada
ZIP Code: 89436-8219
Phone: (775) 327-0699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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