Kenneth Paul Stoller MD

NPI 1063518967 - Emergency Medicine - 207PE0005X

NPI Details
NPI 1063518967
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 MARINA BLVD
SUITE 100
BRISBANE CA, 94005-1835, US
Phone (650) 416-7830
Fax (650) 871-8874
Business Location
1000 MARINA BLVD
SUITE 100
BRISBANE CA, 94005-1835, US
Phone (650) 416-7830
Fax (650) 871-8874
Toxanomy
Taxonomy Code 207PE0005X
License State New Mexico
License Number 97382
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According to our database, Dr. Kenneth Paul Stoller MD NPI is 1063518967, taxonomy code is 207PE0005X and license number is 97382, license state is located at New Mexico. Kenneth Paul Stoller MD physically located at 1000 Marina Blvd, Brisbane CA, 94005-1835. NPI Number Kenneth Paul Stoller MD has the Individual type.

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1063518967 NPI number is provided on an as is basis without warranty of any kind. 1063518967 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Paul Stoller MD are for informational purposes only.