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NPI Code Detail

MEDICARE: DR. ROBERT DONALD STOCKMAN PHD

MEDICARE:  DR. ROBERT DONALD STOCKMAN  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist4033AZ

General Provider Information

NPI Number : 1952530925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DONALD STOCKMAN PHD
Provider Business Mailing Address
First Line : 16412 E GLENBROOK BLVD
Second Line :
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-2243
Country : US
Telephone Number : 480-323-0485
Fax Number :
Provider Business Practice Location Address
First Line : 16412 E GLENBROOK BLVD
Second Line :
City : FOUNTAIN HILLS
State : AZ
Zip : 85268-2243
Country : US
Telephone Number : 480-323-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2009
Last Update Date : 07/10/2009

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Directions to “ DR. ROBERT DONALD STOCKMAN PHD” Practice Location

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