EARL STODDARD

CHUBBUCK, ID
NPI1760400238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: ID  M9280)
Enumeration Date2006-07-17
Last Update Date2020-08-18
Business Address
EARL STODDARD M.D.
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
Mailing Address
EARL STODDARD M.D.
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
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