Individual
KOURTNEY STOMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NETWORK CENTRE DR, EFFINGHAM, IL 62401-4602
(618) 288-6699
(618) 288-8977
Mailing address
PO BOX 879, MARYVILLE, IL 62062-0879
(618) 288-6699
(618) 288-8977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033193
IL
Other
Enumeration date
06/16/2021
Last updated
01/30/2025
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