Individual
MICHAEL STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 S ALAMO AVE, DAVIS-MONTHAN AFB, AZ 85707-4405
(520) 228-4357
Mailing address
4175 S ALAMO AVE, DAVIS-MONTHAN AFB, AZ 85707-4405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60862
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
02/04/2022
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