B C Stufflebam, MD, LLC
B C Stufflebam, MD, LLC is a Diagnostic Radiology Physician in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
629 Sable DrCentralia, IL 62801-4472
Phone: (618) 533-0727
Fax: (618) 533-1464
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 036058847 (IL) |
|---|
Record details
| NPI number | 1043453707 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bradley Stufflebam — Manager · (618) 533-0727 |
| NPI enumerated | April 10, 2009 |
| Last updated in NPPES | April 10, 2009 |
| Mailing address | 629 Sable Dr, Centralia, IL 62801-4472 |
Other providers in Centralia
-
Robert J Killian, MD
400 N Pleasant Ave Radiology Dept, Centralia, IL 62801-3056 · (618) 436-8000
-
Dr. Bradley C Stufflebam, MD
629 Sable Dr, Centralia, IL 62801-4472 · (618) 533-0727