IndividualActive
Earl Stoddard, M.D.
NPI 1760400238 · MOHS-Micrographic Surgery Physician · Chubbuck, ID
Provider details
- NPI number
- 1760400238
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M9280 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643
Approximate (ZIP-level) locationGet directions
Mailing address
147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.