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Stoddard & Bingham Medical of Rexburg PLLC

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Company Details

Name: Stoddard & Bingham Medical of Rexburg PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Dec 2020 (4 years ago)
Financial Date End: 31 Dec 2024
Date dissolved: 25 Mar 2025
Entity Number: 4108475
Place of Formation: IDAHO
File Number: 739428
ZIP code: 83440
County: Madison County
Principal Address: 3302 859 S YELLOWSTONE HWY REXBUYRG, ID 83440
Mailing Address: RALENE 147 W CHUBBUCK RD CHUBBUCK, ID 83202-2314

Agent

Name Role Address
Ralene Redfod Agent 147 W CHUBBUCK RD, CHUBBUCK, ID 83202

Member

Name Role Address Appointed On
Earl R Stoddard Member 147 W CHUBBUCK RD, CHUBBUCK, ID 83202 2021-11-04
Colby S Bingham Member 147 W CUBBUCK RD, CHUBBUCK, ID 83202 2023-11-03

National Provider Identifier

NPI Number:
1356942437
Certification Date:
2020-11-04

Authorized Person:

Name:
RALENE REDFORD
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2082387546
Fax:
2086562161

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006170406 2025-03-25
Annual Report 0005456739 2023-11-03
Application for Reinstatement 0005163373 2023-03-21
Dissolution/Revocation - Administrative 0005161982 2023-03-21
Annual Report 0004486810 2021-11-04

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State