Dermatology
STODDARD MEDICAL, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972745594 · enumerated 2009-03-27 · record updated 2012-04-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: EARL STODDARD M.D., Owner/Physician · (208) 238-7546
Other names: IDAHO SKIN INSTITUTE, INC.
Addresses and phones
- Mailing address 147 W CHUBBUCK RD, CHUBBUCK, ID, 83202-2314 (208) 238-7546 Fax (208) 237-9643 Google Maps Apple Maps OpenStreetMap
- Practice location 147 W CHUBBUCK RD, CHUBBUCK, ID, 83202-2314 (208) 238-7546 Fax (208) 237-9643 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License M9280 ID
In this directory
Locations and evidence
-
Practice location
CHUBBUCK, ID, 832022314
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.