Individual
COREY JAMES STOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1440 S GRANDVIEW AVE, DUBUQUE, IA 52003-8733
(319) 290-2097
Mailing address
1440 S GRANDVIEW AVE, DUBUQUE, IA 52003-8733
(319) 290-2097
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41108
IA
207L00000X
Anesthesiology Physician
51179
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2009
Last updated
02/10/2023
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