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Individual

DR. WILLEFORD J. STOECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R3G34
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-074663
IL BLUE CROSS BLUE SHIELD
IL
01
063896
HEALTH ALLIANCE
05
143790001
AR
01
185214
MO BLUE CROSS BLUE SHIELD
MO
05
202662102
MO
01
207350
HEALTHLINK
01
430954380CAP
MERCY HEALTH PLAN
Enumeration date
07/30/2006
Last updated
11/13/2013
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