Stephen M Koller in Bridport - Diagnostic Radiology
Stephen M Koller - NPI 1538197421
Stephen M Koller is a Diagnostic Radiology in Bridport, Vermont. Stephen M Koller practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen M Koller is 1538197421. The last update date is 2007-07-08.
Stephen M Koller's current location address is 1119 Basin Harbor Rd, Bridport, Vermont. You can contact this provider via phone number 8023888851. The mailing address for Stephen M Koller is 1119 Basin Harbor Rd, Bridport, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen M Koller |
|---|---|
| Address | 1119 Basin Harbor Rd, Bridport, Vermont |
| Phone Number | 8023888851 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538197421 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1119 Basin Harbor Rd |
|---|---|
| City | Bridport |
| State | Vermont (VT) |
| Post Code | 57349570 |
| Phone Number | 8023888851 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 042-0009220 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0VN1562 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen M Koller by the Centers for Medicare & Medicaid Services?
The Stephen M Koller has been assigned the NPI (National Provider Identifier) 1538197421. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephen M Koller's facilities are situated?
The facilities of Stephen M Koller are physically located at the following address: 1119 Basin Harbor Rd, Bridport, VT, 57349570.
What is Stephen M Koller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen M Koller is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538197421 to Stephen M Koller?
The Centers for Medicare & Medicaid Services originally issued the 1538197421 to Stephen M Koller on 2006-06-29.
When was the information pertaining to Stephen M Koller most recently updated or revised?
The details related to Stephen M Koller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.