SHELBY L.R. STODDARD

POCATELLO, ID
NPI1205198934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  24289A)
Enumeration Date2012-06-08
Last Update Date2016-04-08
Business Address
Mrs. SHELBY L.R. STODDARD NP-C
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-232-3216
Mailing Address
Mrs. SHELBY L.R. STODDARD NP-C
1188 CALL PLACE
POCATELLO, ID 83201-5175
Phone number: 208-232-3216
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