| Organization Name: | THE STOCK DOC |
| NPI Number: | 1144592833 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY L STOCKTON (CORP PRESIDENT) |
| Mailing Address: | 3700 Riverview Rd Riverton |
| State: | WY US |
| Postal Code: | 825015455 |
| Phone Number: | 3078567764 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2012 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 1096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |