Rex Stombaugh in Centralia - Physician Assistant
Rex Stombaugh - NPI 1568406064
Rex Stombaugh is a Physician Assistant in Centralia, Illinois. Rex Stombaugh practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rex Stombaugh is 1568406064. The last update date is 2007-11-27.
Rex Stombaugh's current location address is 1441 W Broadway, Centralia, Illinois. You can contact this provider via phone number 6185329050. The mailing address for Rex Stombaugh is 1441 W Broadway, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rex Stombaugh |
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Address | 1441 W Broadway, Centralia, Illinois |
Phone Number | 6185329050 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1568406064 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
Address | 1441 W Broadway |
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City | Centralia |
State | Illinois (IL) |
Post Code | 628015613 |
Phone Number | 6185329050 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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CE9335 | IL | RR GROUP NUMBER | |
P00345215 | IL | RR MEDICARE NUMBER |
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What is the Rex Stombaugh's unique identification number?
The Rex Stombaugh has been assigned the NPI (National Provider Identifier) Number 1568406064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Rex Stombaugh by the Centers for Medicare & Medicaid Services?
The Rex Stombaugh has been issued the NPI (National Provider Identifier) 1568406064, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
When did the Rex Stombaugh receive its 1568406064?
The Rex Stombaugh was issued its 1568406064 on 2006-06-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Rex Stombaugh's details last updated?
The information pertaining to the Rex Stombaugh, including its address, specialty, and other details, was most recently updated on 2007-11-27.
As of what date were the details related to Rex Stombaugh most recently updated or revised?
The information pertaining to Rex Stombaugh, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-27.