Individual
AMELIA KATE STIGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 E DEYOUNG ST, MARION, IL 62959-3846
(618) 997-1365
Mailing address
8011 CLAYTON RD STE 216, SAINT LOUIS, MO 63117-1156
(618) 521-1869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007601
IL
363AM0700X
Medical Physician Assistant
85007601
IL
Other
Enumeration date
09/15/2020
Last updated
02/01/2023
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