Individual
CARL B STILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
(714) 537-5160
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G29581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G295810
—
CA
Enumeration date
08/19/2006
Last updated
07/21/2008
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