Individual
DR. MATTHEW LAURENCE STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1600 7TH AVE S, DEPARTMENT OF PEDIATRICS, BIRMINGHAM, AL 35233-1711
(205) 934-3795
Mailing address
1600 7TH AVE S, DEPARTMENT OF PEDIATRICS, BIRMINGHAM, AL 35233-1711
(205) 934-3795
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
30926
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128289
—
AL
Enumeration date
10/20/2006
Last updated
01/19/2012
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