Individual
ALAN M. STOLL X
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 DIAMOND BLVD, HANNIBAL, MO 63401-2257
(573) 248-0071
Mailing address
6 DIAMOND BLVD, HANNIBAL, MO 63401
(573) 248-0071
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13715
MO
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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