Provider Demographics
NPI:1972565109
Name:STOCKTON, TONI CYD (MD)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:CYD
Last Name:STOCKTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16611 S. 40TH STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048
Mailing Address - Country:US
Mailing Address - Phone:480-610-6366
Mailing Address - Fax:480-833-1653
Practice Address - Street 1:16611 S. 40TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048
Practice Address - Country:US
Practice Address - Phone:480-610-6366
Practice Address - Fax:480-833-1653
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22013207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ71208Medicare ID - Type Unspecified
AZA93288Medicare UPIN