Individual
DAVID R STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 719-7000
(336) 719-7199
Mailing address
PO BOX 1101, MOUNT AIRY, NC 27030-1101
(336) 719-7000
(336) 719-7199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
198649
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052169
—
NC
Enumeration date
07/19/2006
Last updated
07/08/2007
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