Provider Demographics
NPI:1093916579
Name:STODDARD, JAMES F (M D)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:STODDARD
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 NURMI DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6872
Mailing Address - Country:US
Mailing Address - Phone:198-989-4046
Mailing Address - Fax:198-989-4409
Practice Address - Street 1:2316 NURMI DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6872
Practice Address - Country:US
Practice Address - Phone:198-989-4046
Practice Address - Fax:198-989-4409
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1639341207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine