Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rex Stombaugh, PA

Individual provider Physician Assistant · NPI 1568406064

Rex Stombaugh, PA is a Physician Assistant in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1441 W Broadway
Centralia, IL 62801-5613
Phone: (618) 532-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)

Record details

NPI number1568406064
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESNovember 27, 2007
Mailing address1441 W Broadway, Centralia, IL 62801-5613

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