Individual
JOHN R. STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 CHASE AVE, PROVIDENCE MEDICAL GROUP, WALLA WALLA, WA 99362
(509) 897-3700
(509) 897-5575
Mailing address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 897-3700
(509) 897-5575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60292842
WA
Other
Enumeration date
06/26/2009
Last updated
04/07/2021
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