Individual
GLENN STALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2709 BLUE RIDGE RD, SUITE 320, RALEIGH, NC 27607-6462
(919) 876-7692
(919) 954-3365
Mailing address
2709 BLUE RIDGE RD, SUITE 320, RALEIGH, NC 27607-6462
(919) 876-7692
(919) 954-3365
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9801510
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126WG
BCBS
NC
01
—
460003102
MCR RR
NC
05
—
89126WG
—
NC
01
—
P00629153
RR MEDICARE
NC
Enumeration date
03/10/2006
Last updated
09/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us