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B C Stufflebam, Md, Llc
Diagnostic Radiology Physician in Centralia, Illinois
NPI 1043453707

B C Stufflebam, Md, Llc is a Diagnostic Radiology Physician based in Centralia, IL and is specialized in Diagnostic Radiology. B C Stufflebam, Md, Llc practices in Centralia, IL. The NPI Number for B C Stufflebam, Md, Llc is 1043453707 and holds a License No. 036058847 (Illinois).

The current practice location address for B C Stufflebam, Md, Llc is 629 Sable Dr, Centralia, IL and can be reached out via phone at 618-533-0727 and via fax at 618-533-1464.

Location: 629 Sable Dr, Centralia, IL, 62801-4472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043453707
Provider Name
B C Stufflebam, Md, Llc
Credential
Provider Entity Type
Organization
Address
629 Sable Dr, Centralia, IL, 62801-4472
Phone Number
618-533-0727
Fax Number
618-533-1464
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
629 Sable Dr
City
Centralia
State
Illinois
Zip
62801-4472
Phone Number
618-533-0727
Fax Number
618-533-1464
person
Provider Business Mailing Address Details
Address
629 Sable Dr
City
Centralia
State
Illinois
Zip
62801-4472
Phone Number
618-533-0727
Fax Number
618-533-1464
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036058847 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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