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Dr. Charles Allen Stillman, DO
Diagnostic Radiology Physician in Stockton, California
NPI 1508836453

Charles Allen Stillman is a Diagnostic Radiology Physician based in Menlo Park, CA and is specialized in Diagnostic Radiology. Charles Allen Stillman practices in Stockton, CA and has the professional credentials of DO. The NPI Number for Charles Allen Stillman is 1508836453 and holds a License No. 20A11027 (California).

The current practice location address for Charles Allen Stillman is 546 E Pine St, Stockton, CA and can be reached out via phone at 209-467-1000 and via fax at 209-467-7335. You can also correspond with Charles Allen Stillman through the mailing address at 195 GLORIA CIR, MENLO PARK, CA - 94025-3559 (mailing address contact number: 650-450-3150).

Location: 546 E Pine St, Stockton, CA, 94025-3559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508836453
Provider Name
Charles Allen Stillman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
546 E Pine St, Stockton, CA, 94025-3559
Phone Number
209-467-1000
Fax Number
209-467-7335
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508836453 05 CA
institution
Provider Business Practice Location Address Details
Address
546 E Pine St
City
Stockton
State
California
Zip
95204-5525
Phone Number
209-467-1000
Fax Number
209-467-7335
person
Provider Business Mailing Address Details
Address
546 E Pine St
City
Stockton
State
California
Zip
95204-5525
Phone Number
209-467-1000
Fax Number
209-467-7335
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
20A11027 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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