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Contact Information

TERRENCE A STOLL, MD
8540 W ATWATER DR
GARDEN CITY, ID83714-1801
 Phone: 208-880-6010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Body Imaging

2085B0100X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for TERRENCE A STOLL · (Male)

NPI Number 1447288121
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 11/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M6733
  • ND License # 3929
  • WA License # MD 00047952
  • WY License # 2963A
  • ID Medicaid 003929000
Hospital affiliation(s) Not Available
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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