Stoller, David W
Stoller, David W is an individual health care provider with primary practice located at 3700 California St Suite G350, San Francisco CA 94118-1618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stoller, David W can be contacted via phone (415) 600-2940.Contact Information
Primary practice address
3700 California St Suite G350
San Francisco CA 94118-1618
Phone: (415) 600-2940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G50834 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5855 | Alaska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35464 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 30786 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA07189700 | New Jersey |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 036.103835 | Illinois |
Profile Details
| NPI number | 1255318036 |
|---|---|
| LBN Legal business name | Stoller, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jun 1st, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255318036 | NPPES |
| Washington | Other | 0144894 | L&I |
| Washington | MEDICAID | 1255318036 | L&I |
| Washington | MEDICAID | 8169690 | L&I |
| Washington | Other | 300123273 | L&I |
| Washington | MEDICAID | 111845 | L&I |
| Washington | MEDICAID | 200097670A | L&I |
| Washington | MEDICAID | 8940207 | L&I |
| Washington | Other | 300121756 | L&I |
| Washington | Other | 8933500 | L&I |
| Washington | MEDICAID | 93723288 | L&I |
| Washington | MEDICAID | G00508340 | L&I |
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