Individual provider · Type 1 NPI

Robert Stallworth, MD

Diagnostic Radiology Physician · Springfield, IL

NPI number 1508808460 Active

Practice location

701 N 1st St
Springfield, IL 62781-0001

Mailing address

2040 W Iles Ave, Suite C
Springfield, IL 62704-4183

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036059291 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1508808460

Robert Stallworth, MD's National Provider Identifier is 1508808460, issued on Jun 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, IL. The record was last updated on Jul 17, 2008.