| Dr Jeffrey R Stall, MD | |
|
275 Route 30 N, Bomoseen, VT 05732-9647 | |
| (802) 468-5641 | |
| (802) 468-2923 |
| Full Name | Dr Jeffrey R Stall |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 275 Route 30 N, Bomoseen, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427042662 | NPI | - | NPPES |
| 1016730 | Medicaid | VT | |
| P01021086 | Other | VT | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042-0011846 (Vermont) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 042-0011846 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey R Stall, MD 71 Allen St, Ste 403, Rutland, VT 05701-4570 Ph: (802) 772-4414 | Dr Jeffrey R Stall, MD 275 Route 30 N, Bomoseen, VT 05732-9647 Ph: (802) 468-5641 |
Megan I. Greenleaf, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923 |