Individual
CURTIS CLIFFORD STAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
(812) 426-6388
Mailing address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
(812) 426-6388
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
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