Individual
IAN DAVID STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 575-5000
Mailing address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 574-4455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60781545
WA
Other
Enumeration date
07/23/2017
Last updated
08/16/2017
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