Individual
EDWARD JORDAN STOLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3455 LUTHERAN PKWY STE 105, WHEAT RIDGE, CO 80033-6028
(303) 665-2603
(303) 665-2605
Mailing address
3455 LUTHERAN PKWY, STE 105, WHEAT RIDGE, CO 80033-6028
(303) 665-2603
(303) 665-2605
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
30560
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305606
—
CO
Enumeration date
08/11/2006
Last updated
03/17/2018
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