SAMANTHA STADTS

CARBONDALE, IL
NPI1245953967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085009226)
Enumeration Date2022-09-20
Last Update Date2022-09-20
Business Address
SAMANTHA STADTS PA-C
404 S LEWIS LN
CARBONDALE, IL 62901-3547
Phone number: 618-519-9200
Mailing Address
SAMANTHA STADTS PA-C
109 CALIFORNIA ST, PO BOX 577
CARTERVILLE, IL 62918-0577
Phone number: 618-519-9200
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