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Individual
MATTHEW VERNON STODDARD
Active
Individual
MATTHEW VERNON STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10805840-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10805840-0501
MEDICAL LICENSE
UT
Enumeration date
01/09/2015
Last updated
02/08/2024
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