Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EARL STODDARD, M.D.
Active Sole ProprietorEARL STODDARD, M.D. is a Obesity Medicine healthcare provider located in CHUBBUCK, Idaho. NPI 1760400238 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · CHUBBUCK, ID
Registration Details
- NPI Number
- 1760400238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.101225378136 yrs)
- Last Updated
- Aug 18, 2020
- License
-
M9280 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 W CHUBBUCK RDCHUBBUCK, ID, 832022314Browse ID providers · Browse ZIP 83202
- Phone
- 2082387546
- Fax
- 2082379643
- Primary Specialty
-
Obesity Medicine
207ND0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.