Earl Stoddard in Chubbuck - Mohs-micrographic Surgery
Earl Stoddard - NPI 1760400238
Earl Stoddard is a Mohs-micrographic Surgery in Chubbuck, Idaho. Earl Stoddard practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Earl Stoddard is 1760400238. The last update date is 2020-08-18.
Earl Stoddard's current location address is 147 W Chubbuck Rd, Chubbuck, Idaho. You can contact this provider via phone number 2082387546 and fax number 2082379643. The mailing address for Earl Stoddard is 147 W Chubbuck Rd, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl Stoddard |
|---|---|
| Address | 147 W Chubbuck Rd, Chubbuck, Idaho |
| Phone Number | 2082387546 |
| Fax Number | 2082379643 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760400238 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2020-08-18 |
Provider Mailing Address Detail
| Address | 147 W Chubbuck Rd |
|---|---|
| City | Chubbuck |
| State | Idaho (ID) |
| Post Code | 832022314 |
| Phone Number | 2082387546 |
| Fax Number | 2082379643 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | M9280 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807206400 | ID | -- | |
| P00239843 | ID | RAILRAOD MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Earl Stoddard by the Centers for Medicare & Medicaid Services?
The Earl Stoddard has been assigned the NPI (National Provider Identifier) 1760400238. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Earl Stoddard is geographically located?
The Earl Stoddard is physically situated at the following location: 147 W Chubbuck Rd, Chubbuck, ID, 832022314.
What is the Earl Stoddard's specialty and taxonomy code?
The Earl Stoddard's specialty is Mohs-micrographic Surgery, and the corresponding taxonomy code is 207Nd0101X.
On what date did the Earl Stoddard receive its 1760400238 assignment from the Centers for Medicare & Medicaid Services?
The Earl Stoddard was assigned its 1760400238 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date was the information pertaining to Earl Stoddard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Earl Stoddard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-18.