Individual
SUSAN STOGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MERCY DR, DIABETES EDUCATION DEPT, COUNCIL BLUFFS, IA 51503-3128
(712) 325-2543
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(712) 325-2543
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
059576
IA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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