Glenn Stall in Raleigh - Endocrinology, Diabetes & Metabolism

Glenn Stall - NPI 1841268208

Glenn Stall is a Endocrinology, Diabetes & Metabolism in Raleigh, North Carolina. Glenn Stall practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Glenn Stall is 1841268208. The last update date is 2011-09-13.

Glenn Stall's current location address is 2709 Blue Ridge Rd, Raleigh, North Carolina. You can contact this provider via phone number 9198767692 and fax number 9199543365. The mailing address for Glenn Stall is 2709 Blue Ridge Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Stall
Address 2709 Blue Ridge Rd, Raleigh, North Carolina
Phone Number 9198767692
Fax Number 9199543365
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1841268208
Provider Enumeration Date 2006-03-10
Last Updated Date 2011-09-13

Provider Mailing Address Detail

Address 2709 Blue Ridge Rd
City Raleigh
State North Carolina (NC)
Post Code 276076462
Phone Number 9198767692
Fax Number 9199543365

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 9801510
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89126WG NC --
460003102 NC MCR RR
126WG NC BCBS
P00629153 NC RR MEDICARE

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FAQs about Glenn Stall

What is the unique 10-digit identifier code issued to Glenn Stall by the Centers for Medicare & Medicaid Services?

The Glenn Stall has been assigned the NPI (National Provider Identifier) 1841268208 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Glenn Stall's facilities are situated?

The facilities of Glenn Stall are physically located at the following address: 2709 Blue Ridge Rd, Raleigh, NC, 276076462.

What is Glenn Stall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Glenn Stall is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy classification code for this specialized field is 207Re0101X.

On what date did the Centers for Medicare & Medicaid Services assign the 1841268208 to Glenn Stall?

The Centers for Medicare & Medicaid Services assigned the 1841268208 to Glenn Stall on 2006-03-10.

As of what date was the information regarding Glenn Stall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Glenn Stall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-13.

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