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Individual

DR. MARK R STAMPEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M5520
TX
207RC0000X
Cardiovascular Disease Physician
036.128842
IL
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0071996
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036128842
IL
05
9000237919
CO
01
P01036842
RAILROAD
IL
Enumeration date
05/01/2007
Last updated
11/22/2024
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