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Organization

TONI C STOCKTON MD PLLC

Active
Other names
STOCKTON DERMATOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TONI CYD STOCKTON M.D. (CEO)
(480) 610-6366
Entity
Organization

Contact information

Practice address
16611 S. 40 STREET, SUITE 100, PHOENIX, AZ 85048
(480) 610-6366
(480) 833-1653
Mailing address
16611 S. 40 STREET, SUITE 100, PHOENIX, AZ 85048
(480) 610-6366
(480) 833-1653

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22013
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070015724
MEDICARE RAILROAD
AZ
01
1Z6275
HEALTHNET HEALTHCARE
AZ
01
AZ0875010
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/04/2006
Last updated
03/13/2013
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