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Individual

MARCUS F. STODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 E CHESTNUT ST, STE 310, LOUISVILLE, KY 40202-5700
(502) 588-4600
(502) 588-4693
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4600
(502) 588-4693

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26226
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200059380
IN
05
64262264
KY
Enumeration date
08/22/2005
Last updated
12/01/2015
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