Stoll, Terrence A

Stoll, Terrence A is an individual health care provider with primary practice located at 8540 W Atwater Dr , Garden City ID 83714-1801. He recently has 8 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Other Service Providers / Specialist is his primary health care specialty. Stoll, Terrence A can be contacted via phone (208) 880-6010.

Contact Information

Primary practice address
8540 W Atwater Dr Garden City ID 83714-1801
Phone: (208) 880-6010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M6733 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD 00047952 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M6733 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3929 North Dakota
Other Service Providers / Specialist 174400000X MD 00047952 Washington
Other Service Providers / Specialist 174400000X 3929 North Dakota
Other Service Providers / Specialist 174400000X 2963A Wyoming

Profile Details

NPI number 1447288121
LBN Legal business name Stoll, Terrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 2nd, 2010 - about 14 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 1447288121 NPPES
Idaho MEDICAID 003929000

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