Stolz, Gerald A

Stolz, Gerald A is an individual health care provider with primary practice located at 1430 West C Street , Russellville AR 72801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Stolz, Gerald A can be contacted via phone (479) 968-6781.

Contact Information

Primary practice address
1430 West C Street Russellville AR 72801
Phone: (479) 968-6781
Fax: (479) 968-3074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C4316 Arkansas

Profile Details

NPI number 1467417121
LBN Legal business name Stolz, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467417121 NPPES
Oklahoma MEDICAID 100076190A
Oklahoma Other 770120601
Oklahoma MEDICAID 103867001

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