Individual
DANIEL L STANTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N. FIRST ST, SPRINGFIELD, IL 62781
(217) 788-3245
Mailing address
2040 W. ILES, SUITE C, SPRINGFIELD, IL 62704
(217) 789-7743
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M3748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181180401
—
TX
01
—
8W2043
BCBSTX
TX
Enumeration date
07/11/2006
Last updated
06/18/2009
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