Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stoddard Medical, Inc

Organization Dermatology Physician · NPI 1972745594

Stoddard Medical, Inc provides Dermatology Physician services in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

147 W Chubbuck Rd
Chubbuck, ID 83202-2314 Not confirmed with CMS for 14 years — call before visiting
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

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M9280 (ID)

Record details

NPI number1972745594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Earl Stoddard — Owner/Physician · (208) 238-7546
Other names Idaho Skin Institute, Inc.
NPI enumeratedMarch 27, 2009
Last updated in NPPESApril 4, 2012
Mailing address147 W Chubbuck Rd, Chubbuck, ID 83202-2314

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