Individual provider · Type 1 NPI

Bronwyn Ruddy Stall, MD

Radiation Oncology Physician · Orlando, FL

NPI number 1124054333 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Call (407) 303-2030 Map

Fax (407) 303-2040

Mailing address

2501 N Orange Ave Ste 182
Orlando, FL 32804-4675

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001X0101239937 (VA)
Radiation Oncology Physician Primary 2085R0001XME136490 (FL)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1124054333

Bronwyn Ruddy Stall, MD's National Provider Identifier is 1124054333, issued on Jun 23, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Orlando, FL. The record was last updated on Oct 22, 2018.