Individual
SEAN R. STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
676 E 1ST AVE, SUITE 9, CHICO, CA 95926-3547
(530) 342-5621
(530) 342-6506
Mailing address
676 E 1ST AVE, SUITE 9, CHICO, CA 95926-3547
(530) 342-5621
(530) 342-6506
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6463970001
CMS DME PTAN
CA
01
—
E-4852
PROFESSIONAL LICENSE
CA
Enumeration date
02/17/2006
Last updated
03/22/2011
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