Individual
COLLEEN K STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6849
(319) 356-3901
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6849
(319) 356-3901
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31733
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258756
—
IA
01
—
44919
WELLMARK BCBS
IA
Enumeration date
10/05/2005
Last updated
06/24/2009
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