Individual
DAVID LEEDY STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3125 COLBY AVE, SUITE J, EVERETT, WA 98201-4032
(425) 303-8806
(425) 303-8848
Mailing address
3125 COLBY AVE, SUITE J, EVERETT, WA 98201-4032
(425) 303-8806
(425) 303-8848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00341141
WA
207V00000X
Obstetrics & Gynecology Physician
MD00341141
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8014102
—
WA
Enumeration date
11/17/2006
Last updated
11/17/2011
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