SearchIdaho207ND0101X

Earl Stoddard, M.D

NPI 1760400238 · on the registry since 2006 · sole proprietor

Practice

Address
147 W Chubbuck Rd
Chubbuck, ID 83202
Phone
(208) 238-7546
Fax
(208) 237-9643
Organisation at this address
Stoddard Medical, Inc
Idaho Skin Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207ND0101X
207ND0101X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho