Individual
DR. MARK H STOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5470
(928) 771-5471
Mailing address
PO BOX 11720, PRESCOTT, AZ 86304-1720
(928) 771-5470
(928) 771-5471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G67201
CA
208M00000X
Hospitalist Physician
Primary
34722
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G672010
—
CA
Enumeration date
11/03/2005
Last updated
03/06/2018
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