Organization
STODDARD & BINGHAM MEDICAL OF TWIN FALLS PLLC
Active
Other names
Idaho Skin Institute of Twin Falls
Organization subpart
No
Provider details
NPI number
Authorized official
EARL R STODDARD MD (OWNER)
(208) 238-7546
Entity
Organization
Contact information
Practice address
1411 FALLS AVE E STE 1002, TWIN FALLS, ID 83301-3459
(208) 595-5424
(208) 595-5426
Mailing address
147 W CHUBBUCK RD, CHUBBUCK, ID 83202-2314
(208) 238-7546
(208) 237-9643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164834073
PERSONAL NPI
—
01
—
1528533296
PERSONAL NPI
ID
01
—
1548482482
PERSONAL NPI
—
01
—
1760400238
PERSONAL NPI
ID
Enumeration date
08/05/2021
Last updated
07/25/2023
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