Individual
MACK STOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 N DODGE ST STE B, IOWA CITY, IA 52245-8304
(319) 246-2006
(319) 483-6919
Mailing address
2400 N DODGE ST STE B, IOWA CITY, IA 52245-8304
(319) 246-2006
(319) 483-6919
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
120353
IA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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