Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS J. STAUDER, MD
ActiveTHOMAS J. STAUDER, MD is a Allergy healthcare provider located in WILDWOOD, Missouri. NPI 1679568570 is currently active in the NPPES registry. Verify at CMS.
Allergy · WILDWOOD, MO
Registration Details
- NPI Number
- 1679568570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2005 (20.913754835723 yrs)
- Last Updated
- Nov 23, 2009
- Licenses
-
105229 (MO)105229 (MO)105229 (MO)
Practice Information
- Address
-
1906 POWDERHORN PASS CTWILDWOOD, MO, 630111717Browse MO providers · Browse ZIP 63011
- Phone
- 6364584188
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy
- Additional Specialty
- Emergency Medicine
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.