Search › Illinois › 363AM0700X
Marilyn Stombaugh, PA-C
NPI 1669559290 · on the registry since 2006
Practice
- Address
- 4107 S Water Tower Pl
Mount Vernon, IL 62864 - Phone
- (618) 244-0031
- Organisation at this address
- Skin Care Center Of Southern Il Llc
United Skin Specialists Illinois Ltd, Pc
United Skin Specialists Illinois Ltd, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois