Individual
MR. STAN CILFFORD STADIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4730 S NATIONAL AVE, SUITE C 5, SPRINGFIELD, MO 65810-2773
(417) 881-9333
(417) 881-9334
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
(618) 654-5439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003017534
MO
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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