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1821212788
TIMOTHY J STODDARD
HAILEY, ID
NPI
1821212788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine
(Licence: ID M-8916)
Enumeration Date
2007-04-12
Last Update Date
2013-10-29
Business Address
Dr. TIMOTHY J STODDARD MD
1450 AVIATION DR SUITE 202
HAILEY, ID 83333-8785
Phone number: 208-727-8970
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Mailing Address
Dr. TIMOTHY J STODDARD MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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