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Individual

STUART B STOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 N BEDFORD DRIVE, SUITE 101, BEVERLY HILLS, CA 90210-4324
(310) 274-9205
(310) 274-7229
Mailing address
450 N BEDFORD DRIVE, SUITE 101, BEVERLY HILLS, CA 90210-4324
(310) 274-9205
(310) 274-7229

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A74944
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A749440
CA
01
GR0007690
MEDICAID GROUP
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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