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Individual

EDWARD A. STOCKTON

Active
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Individual

EDWARD A. STOCKTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME48666
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02828
BCBS
FL
05
0454311 00
FL
01
050066143
RAILROAD MEDICARE
01
XXX-XX-0231
CHAMPUS / TRICARE SOUTH REGION
Enumeration date
07/20/2006
Last updated
01/11/2018
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