Provider Demographics
NPI:1386405819
Name:CHRISTOPHER STALBERG MD CONSULTING PLLC
Entity type:Organization
Organization Name:CHRISTOPHER STALBERG MD CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STALBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-399-7420
Mailing Address - Street 1:4646 E DESERT PARK PL
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-2911
Mailing Address - Country:US
Mailing Address - Phone:480-399-7420
Mailing Address - Fax:
Practice Address - Street 1:4646 E DESERT PARK PL
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-2911
Practice Address - Country:US
Practice Address - Phone:480-399-7420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care