Individual
DR. CHAD MICHAEL STOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13601 N CANTERBURY DR, PHOENIX, AZ 85023-6290
(602) 459-7456
Mailing address
625 W SOUTHERN AVE STE E-145, MESA, AZ 85210-5030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3093873-9924
UT
122300000X
Dentist
5354
AZ
1223D0004X
Dental Anesthesiology
11707
NC
1223D0004X
Dental Anesthesiology
Primary
D5354
AZ
207L00000X
Anesthesiology Physician
11707
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571887
—
AZ
Enumeration date
05/28/2006
Last updated
09/08/2020
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