Provider Demographics
NPI:1235705716
Name:KAREN STOLMAN MD PC
Entity Type:Organization
Organization Name:KAREN STOLMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPA
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:406-439-0607
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59624-0575
Mailing Address - Country:US
Mailing Address - Phone:406-439-0607
Mailing Address - Fax:
Practice Address - Street 1:1790 SUN PEAK DR STE A103
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-6625
Practice Address - Country:US
Practice Address - Phone:435-658-1013
Practice Address - Fax:435-658-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty