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Contact Information

ILYA STONE, MD
1000 W 10TH ST
ROLLA, MO65401-2905
 Phone: 573-458-7050
 Fax: 573-458-8399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ILYA STONE · (Male)

NPI Number 1295717346
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2005
Last updated 06/06/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00038295
  • WA Medicaid 8248676
  • Other 0189042 WA ST LABOR & INDUSTRIES
  • Other 0189063 WA ST LABOR & INDUSTRIES
Hospital affiliation(s)
  • PHELPS COUNTY REGIONAL MEDICAL CENTER - (Acute Care)
    1000 W 10TH ST
    ROLLA, MO 65401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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