Individual
DR. CHARLES ALLEN STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
546 E PINE ST, STOCKTON, CA 95204-5525
(209) 467-1000
(209) 467-7335
Mailing address
195 GLORIA CIR, MENLO PARK, CA 94025-3559
(650) 450-3150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A11027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508836453
—
CA
Enumeration date
01/24/2006
Last updated
03/25/2020
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