IndividualActive
Jonathan Staidle, M.D.
NPI 1982994455 · Dermatology Physician · Sparks, NV
Provider details
- NPI number
- 1982994455
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD457066 (PA)
Practice location
4814 Sparks Blvd
Sparks, NV 89436-8219
Phone: (775) 327-0699
Fax: (775) 451-7501
Mailing address
640 W Moana Ln
Reno, NV 89509-4903
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.