Earl Stoddard, MD
Earl Stoddard, MD is a Micrographic Dermatologic Surgery (Mds) in Chubbuck, Idaho. Graduated from University of Washington School of Medicine in 2001, 25 years ago. Practices with Idaho Skin Institute LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 25
- Trained at
- University of Washington School of Medicine
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
147 W Chubbuck RdChubbuck, ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence M9280 (ID) |
|---|
Record details
| NPI number | 1760400238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | August 18, 2020 |
| Certification date | August 18, 2020 |
| Mailing address | 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Medical school | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduated | 2001 (25 years in practice) |
| Group practice | Idaho Skin Institute Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |