Individual
RUTH STOECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 SOEST ROAD, ROLLA, MO 65401-3781
(573) 364-7723
Mailing address
1110 SOEST ROAD, ROLLA, MO 65401
(573) 364-7723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36044
MO
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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