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Individual

DR. TODD STOCKWELL

Active
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Individual

DR. TODD STOCKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17831
CA
111N00000X
Chiropractor
DC17831
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00DC178310
BLUE SHIELD
CA
01
350053321
RAILROAD MEDICARE
CA
05
DC0178310
CA
Enumeration date
08/11/2006
Last updated
07/15/2016
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