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1508808460
ROBERT STALLWORTH
SPRINGFIELD, IL
NPI
1508808460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036059291)
Enumeration Date
2006-06-12
Last Update Date
2008-07-17
Business Address
-- ROBERT STALLWORTH MD
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3245
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Mailing Address
-- ROBERT STALLWORTH MD
2040 W ILES AVE SUITE C
SPRINGFIELD, IL 62704-4183
Phone number: 217-789-0668
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