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Individual

DR. JAMES WILLIAM STOCKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
1331 E 6TH AVE, TALLAHASSEE, FL 32303-6505
(850) 545-4366
Mailing address
1331 E 6TH AVE, TALLAHASSEE, FL 32303-6505
(850) 545-4366

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 24581
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054159100
FL
01
37187
BCBS PROVIDER NUMBER
FL
Enumeration date
05/09/2006
Last updated
05/26/2010
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