Individual
DR. PETER STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1250
(253) 968-2550
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1250
(253) 968-2550
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00042744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191056
WA L & I
—
01
—
6902ST
REGENCE BS
—
05
—
8399123
—
WA
01
—
8939282
WA CRIME VICTIMS
—
01
—
I09639
GROUP HEALTH
—
Enumeration date
06/21/2006
Last updated
06/24/2025
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