Doctor Name: | DR. JOHN THOMAS STOCKER |
NPI Number: | 1700954377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17947 |
Business Practice Address: | 4301 Jones Bridge Road Dept Pathology-usuhs Bethesda, MD - 208144799 |
Business Phone Number: | 3012953480 |
Business Fax Number: | 3012951640 |
Mailing Address: | 6604 Landon Ln, BETHESDA |
State: | MD |
Postal Code: | 208175636 |
Phone Number: | 3012953480 |
Fax Number: | 3012951640 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 17947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |