Individual
CHAD STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1410 SW TRADITION DR STE 150, ANKENY, IA 50023-9188
(515) 875-9980
(515) 875-9981
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9317
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3749
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942313507
—
IA
01
—
70154
WELLMARK BLUE SHIELD
IA
Enumeration date
08/17/2006
Last updated
10/11/2021
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