Individual
TIMOTHY NOAH STOOKSBERRY
Active
Individual
TIMOTHY NOAH STOOKSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LL37200
SC
2085R0202X
Diagnostic Radiology Physician
Primary
MD474293
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2014
Last updated
06/21/2021
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