Rex Stombaugh, PA

NPI #1568406064 in Centralia, Illinois

Provider Information

NPI Number
1568406064
Entity Type
Individual
Name
Rex Stombaugh, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 15, 2006
Last Updated
Nov 27, 2007

Practice Location

Address
1441 W BROADWAY
ZIP Code
62801-5613
Phone
(618) 532-9050

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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