Individual
DR. TODD F STOCKSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 726-7358
Mailing address
6075 POPLAR AVE, STE 405, MEMPHIS, TN 38119-0113
(901) 685-2696
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
27386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300056132
RR MEDICARE PTAN
TN
05
—
3097546
—
TN
Enumeration date
05/31/2005
Last updated
07/21/2014
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