Individual
DR. DAVID W STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 CALIFORNIA ST, SUITE G350, SAN FRANCISCO, CA 94118-1618
(415) 600-2940
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-8082
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036.103835
IL
2085R0202X
Diagnostic Radiology Physician
25MA07189700
NJ
2085R0202X
Diagnostic Radiology Physician
30786
CO
2085R0202X
Diagnostic Radiology Physician
35464
AZ
2085R0202X
Diagnostic Radiology Physician
5855
AK
2085R0202X
Diagnostic Radiology Physician
Primary
G50834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144894
L&I
WA
05
—
111845
—
AZ
05
—
1255318036
—
NV
05
—
200097670A
—
OK
01
—
300121756
RAILROAD MEDICARE
CA
01
—
300123273
RAILROAD MEDICARE
WA
05
—
8169690
—
WA
01
—
8933500
L&I, CVCP
WA
05
—
8940207
—
NJ
05
—
93723288
—
CO
05
—
G00508340
—
CA
Enumeration date
12/22/2005
Last updated
06/01/2010
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