FORDYCE STIVERS, MD

Otolaryngology

Active Individual
NPI: 1992771216

Practice Address

175 S MAIN ST
Canton, IL 61520

Phone: (309) 647-0201

Specialties

Specialty Code Primary License
Otolaryngology 207Y00000X Yes 2005013768 (MO)

Frequently Asked Questions

NPI 1992771216 is the National Provider Identifier for FORDYCE STIVERS, MD, a Otolaryngology provider located in Canton, IL. This NPI was enumerated on February 27, 2006.
FORDYCE STIVERS, MD practices at 175 S MAIN ST, Canton, IL 61520.

Quick Facts

NPI
1992771216
Type
Individual
Enumerated
Feb 27, 2006
Last Updated
Mar 27, 2008

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