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Stoddard & Bingham Medical of Twin Falls PLLC

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Company Details

Name: Stoddard & Bingham Medical of Twin Falls PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Jul 2021 (4 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 4359384
Place of Formation: IDAHO
File Number: 774612
ZIP code: 83202
County: Bannock County
Mailing Address: 147 W CHUBBUCK RD CHUBBUCK, ID 83202-2314
Mailing Address: EARL STODDARD 147 W CHUBBUCK RD CHUBBUCK, ID 83202-2314

Agent

Name Role Address
Earl Stoddard Agent 147 W CHUBBUCK RD, CHUBBUCK, ID 83202

Manager

Name Role Address Appointed On
Earl Stoddard Manager 147 W CHUBBUCK RD, CHUBBUCK, ID 83202 2022-09-06

National Provider Identifier

NPI Number:
1114691813
Certification Date:
2023-07-25

Authorized Person:

Name:
EARL R STODDARD
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2082379643
Fax:
2085955426

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005946983 2024-10-21
Dissolution/Revocation - Administrative 0005937179 2024-10-11
Annual Report 0005274545 2023-06-09
Annual Report 0004884561 2022-09-06
Initial Filing 0004359384 2021-07-27

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State