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Clifford R Stoller

Sports Medicine

6100 Seagull St Ne Suite 106
Albuquerque , New Mexico 87109-2500

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Clifford R Stoller

Sports Medicine

6100 Seagull St Ne Suite 106
Albuquerque , New Mexico 87109-2500

(505) 883-4397

Write a Review Save Call

Clifford R Stoller

Sports Medicine

6100 Seagull St Ne Suite 106
Albuquerque , New Mexico 87109-2500

(505) 883-4397 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

6100 Seagull St Ne Suite 106 Albuquerque , New Mexico 87109-2500

First Address

  • Clifford R Stoller
  • 6100 Seagull St Ne Suite 106
  • Albuquerque, NM
  • Zip : 87109-2500
  • Fax : (505) 883-4397
  • Phone : (505) 883-4395

Second Address

  • Clifford R Stoller
  • 6100 Seagull St Ne Suite 106
  • Albuquerque, NM
  • Zip : 87109-2500
  • Fax : (505) 883-4397
  • Phone : (505) 883-4395

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FAQs


Where did Clifford R Stoller attend graduate school?

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Where did Clifford R Stoller do his residency?

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Where did Clifford R Stoller do his fellowship?

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Is Clifford R Stoller board certified?

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What type of doctor is Clifford R Stoller

Sports Medicine

In what state does Clifford R Stoller practice in?

New Mexico

Where is Clifford R Stoller ’s practice located?

6100 Seagull St Ne Suite 106 , Albuquerque, New Mexico, 87109-2500

What is Clifford R Stoller ’s gender?

Male

Is Clifford R Stoller a sole practitioner?

No

Is Clifford R Stoller accepting new patients?

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What languages does Clifford R Stoller speak?

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Does Clifford R Stoller accept insurance?

Yes, Clifford R Stoller accepts insurance

Does Clifford R Stoller offers telemedicine?

Clifford R Stoller has not indicated if he offers telemedicine

What is Clifford R Stoller ’s professional license number?

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What is Clifford R Stoller ’s NPI number?

1053327361

Does Clifford R Stoller have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 82-316 NM
Y 213ES0000X Sports Medicine 82-316 NM

National Provider Identifier

NPI 1053327361
Provider Name Clifford R Stoller
First Address Albuquerque, NM 87109-2500
Second Address Albuquerque, NM 87109-2500
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/07/2006
Last Update Date 09/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000037341 (05) NM
D35988 (02) NM

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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