Provider Demographics
NPI:1205272325
Name:STOCKTON, AMY L (DVM)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:STOCKTON
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-5455
Mailing Address - Country:US
Mailing Address - Phone:307-856-7764
Mailing Address - Fax:307-856-9364
Practice Address - Street 1:3700 RIVERVIEW RD
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-5455
Practice Address - Country:US
Practice Address - Phone:307-856-7764
Practice Address - Fax:307-856-9364
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1096174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian