Individual
KENT D STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 RIVERVIEW ROAD, RIVERTON, WY 82501
(307) 856-6591
(307) 856-4027
Mailing address
1620 RIVERVIEW ROAD, RIVERTON, WY 82501
(307) 856-6591
(307) 856-4027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2275A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103589400
—
WY
Enumeration date
10/27/2006
Last updated
12/02/2009
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