Individual
DR. LYLE BARRY STILLWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 WEST MAIN ST, VISALIA, CA 93291
(559) 932-3888
(559) 732-6775
Mailing address
812 WEST MAIN ST, VISALIA, CA 93291
(559) 932-3888
(559) 732-6775
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G032114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG321441
—
CA
Enumeration date
08/04/2006
Last updated
07/08/2007
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