Individual
DR. WILLIAM V STOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10101 STOLTZ DR, ROLLA, MO 65401-7714
(573) 364-0122
(573) 364-0129
Mailing address
10101 STOLTZ DR, ROLLA, MO 65401-7714
(573) 364-0122
(573) 364-0129
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R9056
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0320000
UNITED HEALTHCARE PROVIDE
MO
01
—
117841
HEALTHLINK PROVIDER #
MO
05
—
201026515
—
MO
01
—
4358
BLUE CROSS PROVIDER #
MO
05
—
506121300
—
MO
Enumeration date
10/02/2006
Last updated
06/26/2020
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