| NPI | 1154059343 |
|---|---|
| Other Name | STODDARD FOOT & ANKLE PLLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW VERNON STODDARD Dpm/Owner 208-697-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-02-08 |