| NPI | 1356997662 |
|---|---|
| Doing Business As | ROBERT STALL, MD |
| Entity Type | Organization |
| Authorized Contact | ROBERT STALL CEO / Physician 833-724-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |