Individual
CURTIS CLIFFORD STAUTZ
Active
Individual
CURTIS CLIFFORD STAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039198A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100342470
—
IN
01
—
300017754
RAILROAD MEDICARE
IN
05
—
64872872
—
KY
01
—
P00304869
RAILROAD MEDICARE
IN
Enumeration date
10/04/2005
Last updated
06/11/2014
Update your record
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