DR. Philip Bradley Stockstad, O.D.

NPI #1225115843 in Eugene, Oregon

Provider Information

NPI Number: 1225115843
Entity Type: Individual
Name: DR. Philip Bradley Stockstad, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 401 E 10TH AVE
Address 2: SUITE 160
City: Eugene
State: Oregon
ZIP Code: 97401-3317
Phone: (541) 683-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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