# DR. TERRENCE A STOLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447288121
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 2963A | WY | — |
| 174400000X | Specialist | 3929 | ND | — |
| 174400000X | Specialist | M6733 | ID | Yes |
| 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

- **Enumeration date:** 06/29/2006
- **Last updated:** 11/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003929000 | — | ID |