Organization
NURSES STATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GAIL STOTLER R.N. (OWNER/PRESIDENT)
(618) 259-7781
Entity
Organization
Contact information
Practice address
2 TERMINAL DR, SUITE 1, EAST ALTON, IL 62024-2201
(618) 259-7781
Mailing address
2 TERMINAL DR, SUITE 1, EAST ALTON, IL 62024-2201
(618) 259-7781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041229606
IL
Other
Enumeration date
10/25/2007
Last updated
07/07/2017
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