Individual
SYAM B STOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2827 5TH AVE, HUNTINGTON, WV 25702-1435
(304) 399-7182
(304) 523-7738
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 399-4405
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21729
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010997
—
WV
01
—
9486104
AETNA
WV
Enumeration date
02/13/2006
Last updated
05/11/2018
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