Individual
DAVID L STITTSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
17713 E SHADOW LAKE RD, MOUNT VERNON, IL 62864-8136
(618) 244-2336
(618) 244-1993
Mailing address
17713 E SHADOW LAKE RD, MOUNT VERNON, IL 62864-8136
(618) 244-2336
(618) 244-1993
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000982
IL
Other
Enumeration date
04/05/2006
Last updated
12/08/2021
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