Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EARL WARREN STADLER JR., M.D.
Active Sole ProprietorDR. EARL WARREN STADLER JR., M.D. is a Sports Medicine (PM&R) healthcare provider located in PARK CITY, Utah. NPI 1497026330 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · PARK CITY, UT
Registration Details
- NPI Number
- 1497026330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2012 (14.592542567431 yrs)
- Last Updated
- Jan 24, 2012
- License
-
172322-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 THREE KINGS DRIVE UNIT 31PARK CITY, UT, 84060Browse UT providers · Browse ZIP 84060
- Phone
- 4356494975
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.