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Individual
DR. TERRENCE A STOLL
Active
Individual
DR. TERRENCE A STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2963A
WY
174400000X
Specialist
3929
ND
174400000X
Specialist
Primary
M6733
ID
174400000X
Specialist
MD 00047952
WA
2085B0100X
Body Imaging Physician
MD 00047952
WA
2085N0700X
Neuroradiology Physician
MD 00047952
WA
2085N0904X
Nuclear Radiology Physician
MD 00047952
WA
2085P0229X
Pediatric Radiology Physician
MD 00047952
WA
2085R0202X
Diagnostic Radiology Physician
3929
ND
2085R0202X
Diagnostic Radiology Physician
M6733
ID
2085R0202X
Diagnostic Radiology Physician
MD 00047952
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD 00047952
WA
2085U0001X
Diagnostic Ultrasound Physician
MD 00047952
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003929000
—
ID
Enumeration date
06/29/2006
Last updated
11/02/2010
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