Individual
DOUGLASS E STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049
(785) 843-9125
(785) 843-3176
Mailing address
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049
(785) 843-9125
(785) 843-3176
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0431952
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0431952
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200417830A
—
KS
Enumeration date
06/01/2006
Last updated
09/07/2022
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