Individual
MR. DANIEL LYNN STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 E WILCOX DR, SIERRA VISTA, AZ 85635-2756
(520) 459-3116
(520) 459-7397
Mailing address
1800 E WILCOX DR, SIERRA VISTA, AZ 85635-2756
(520) 459-3116
(520) 459-7397
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1478
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112946
—
AZ
Enumeration date
09/27/2006
Last updated
12/05/2007
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