Individual
RYAN STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 W JACKSON ST, SIH MEDICAL GROUP ANESTHESIOLOGY, CARBONDALE, IL 62903-7646
(618) 457-5111
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 549-0721
(618) 529-0449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.136803
IL
207L00000X
Anesthesiology Physician
2011016799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULISPECIALTY GROUP PTAN
IL
Enumeration date
06/13/2011
Last updated
12/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us