B C STUFFLEBAM MD LLC NPI 1043453707

NPI Information

B C STUFFLEBAM, MD, LLC is a diagnostic radiology radiology in Centralia, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. B C STUFFLEBAM, MD, LLC NPI is 1043453707. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

629 SABLE DR
CENTRALIA, IL
ZIP 62801-472
Phone: (618) 533-0727
Fax: (618) 533-1464

The provider's authorized official is Bradley Christian Stufflebam .
The authorized official title is Manager and has the following contact phone number (618) 533-0727.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.

Taxonomy Codes

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Other Identifiers

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