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NPI Code Detail

MEDICARE: PATRICIA STOLLE MD

MEDICARE: PATRICIA STOLLE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician0101272665VA

General Provider Information

NPI Number : 1568969988
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA STOLLE MD
Provider Business Mailing Address
First Line : 627 INGLESIDE RD
Second Line :
City : NORFOLK
State : VA
Zip : 23502-4201
Country : US
Telephone Number : 757-641-4838
Fax Number :
Provider Business Practice Location Address
First Line : 6379 CENTER DR
Second Line :
City : NORFOLK
State : VA
Zip : 23502-4102
Country : US
Telephone Number : 757-470-5810
Fax Number : 757-467-4173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 08/02/2021

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Directions to “ PATRICIA STOLLE MD” Practice Location

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