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Dr. Bradley C Stufflebam, MD
Diagnostic Radiology Physician in Centralia, Illinois
NPI 1275558249

Bradley C Stufflebam is a Diagnostic Radiology Physician based in Centralia, IL and is specialized in Diagnostic Radiology. Bradley C Stufflebam practices in Centralia, IL and has the professional credentials of MD. The NPI Number for Bradley C Stufflebam is 1275558249 and holds a License No. 036-058847 (Illinois).

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

Location: 629 Sable Dr, Centralia, IL, 62801-4472
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Provider Profile Details
NPI Number
1275558249
Provider Name
Bradley C Stufflebam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
629 Sable Dr, Centralia, IL, 62801-4472
Phone Number
618-533-0727
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-058847 01 IL STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
629 Sable Dr
City
State
Zip
62801-4472
Phone Number
618-533-0727
Fax Number
person
Provider Business Mailing Address Details
Address
629 Sable Dr
City
State
Zip
62801-4472
Phone Number
618-533-0727
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036-058847 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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