Dr STANTON AXLINE is a male medical professional, specializing in Infectious Disease. He graduated in 1956 from Ohio State University College Of Medicine.
2001 SANTA MONICA BLVD
665W
SANTA MONICA
CA
904042184
Tel:
| Npi | 1437215803 |
| Pac Id | 6204997778 |
| Professional Enrollment Id | I20081203000456 |
| Last Name | AXLINE |
| First Name | STANTON |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1956 |
| Primary Specialty | INFECTIOUS DISEASE |
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| Organization Legal Name | |
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| Line 1 Street Address | 2001 SANTA MONICA BLVD |
| Line 2 Street Address | 665W |
| Marker Of Address Line 2 Suppression | |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042184 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050290 |
| Hospital Affiliation Lbn 1 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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