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Dr. Ross Stanton, MD,JD,MPH
Military Health Care Provider in O Fallon, Illinois
NPI 1831710631

Ross Stanton is a Military Health Care Provider based in O Fallon, IL. Ross Stanton practices in O Fallon, IL and has the professional credentials of MD,JD,MPH. The NPI Number for Ross Stanton is 1831710631 and holds a License No. 35977 (Illinois).

The current practice location address for Ross Stanton is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL and can be reached out via phone at 618-222-4600 and via fax at 618-222-4792.

Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL, 62269-1284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831710631
Provider Name
Ross Stanton
Credential
MD,JD,MPH
Provider Entity Type
Individual
Gender
Male
Address
3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL, 62269-1284
Phone Number
618-222-4600
Fax Number
618-222-4792
Provider Enumeration Date
05/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Saint Elizabeth Blvd Ste 4000
City
O Fallon
State
Illinois
Zip
62269-1284
Phone Number
618-222-4600
Fax Number
618-222-4792
person
Provider Business Mailing Address Details
Address
3 Saint Elizabeth Blvd Ste 4000
City
O Fallon
State
Illinois
Zip
62269-1284
Phone Number
618-222-4600
Fax Number
618-222-4792
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35977 (Nebraska)
Definition
Definition to come...
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