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1306825500
THOMAS WALDON STATON
METROPOLIS, IL
NPI
1306825500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036086549)
Enumeration Date
2006-01-16
Last Update Date
2020-12-03
Business Address
Dr. THOMAS WALDON STATON M.D.
1203 W 10TH ST
METROPOLIS, IL 62960-2433
Phone number: 618-524-3795
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Mailing Address
Dr. THOMAS WALDON STATON M.D.
1203 W 10TH ST
METROPOLIS, IL 62960-2433
Phone number: 618-524-3795
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