Individual
SHAD RICK STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBC-HIS
Contact information
Practice address
1000 W 6TH ST, SUITE H, PUEBLO, CO 81003-2316
(719) 543-2116
(719) 543-2216
Mailing address
1000 W 6TH ST, SUITE H, PUEBLO, CO 81003-2316
(719) 543-2116
(719) 543-2216
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD-212
CO
Other
Enumeration date
12/01/2010
Last updated
08/03/2015
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