NPI 1821212788

Timothy J Stoddard, MD

Practitioner Psychosomatic Medicine Physician Hailey, ID

Practice location

Address: 1450 Aviation Dr Suite 202, Hailey, ID 83333-8785
Phone: (208) 727-8970
Fax: (208) 727-8979
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Psychosomatic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0015X Licence M-8916 (ID)

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1821212788
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2007
Record last updated: 29 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.