Organization · Type 2 NPI
B C Stufflebam, Md, LLC
Diagnostic Radiology Physician · Centralia, IL
NPI number
1043453707
Active
Practice location
629 Sable Dr
Centralia, IL 62801-4472
Fax (618) 533-1464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 036058847 (IL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
About NPI 1043453707
B C Stufflebam, Md, LLC's National Provider Identifier is 1043453707, issued on Apr 10, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Centralia, IL. The record was last updated on Apr 10, 2009.