MARY STUART

Physician Assistant

Active Individual
NPI: 1417372772

Practice Address

4 MEMORIAL DR
STE 130B
Alton, IL 62002

Phone: (618) 463-7600

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085.004857 (IL)

Frequently Asked Questions

NPI 1417372772 is the National Provider Identifier for MARY STUART, a Physician Assistant provider located in Alton, IL. This NPI was enumerated on February 24, 2014.
MARY STUART practices at 4 MEMORIAL DR, STE 130B, Alton, IL 62002.

Quick Facts

NPI
1417372772
Type
Individual
Enumerated
Feb 24, 2014
Last Updated
Feb 28, 2021

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