Provider Demographics
NPI:1730785528
Name:STEFL, DAVID E (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:STEFL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 G AVE # USA
Mailing Address - Street 2:
Mailing Address - City:GRUNDY CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50638-1597
Mailing Address - Country:US
Mailing Address - Phone:319-824-5446
Mailing Address - Fax:
Practice Address - Street 1:621 G AVE # USA
Practice Address - Street 2:
Practice Address - City:GRUNDY CENTER
Practice Address - State:IA
Practice Address - Zip Code:50638-1597
Practice Address - Country:US
Practice Address - Phone:319-824-5446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist