Individual
MARCUS A STOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
105 W MAIN, SUITE A, PUYALLUP, WA 98375
(253) 307-3913
(253) 604-4450
Mailing address
105 W MAIN, SUITE A, PUYALLUP, WA 98375
(253) 307-3913
(253) 604-4450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023934
WA
Other
Enumeration date
09/03/2007
Last updated
01/07/2009
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