Fordyce Edward Stivers, MD

NPI #1992771216 in Canton, Illinois

Provider Information

NPI Number: 1992771216
Entity Type: Individual
Name: Fordyce Edward Stivers, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Feb 27, 2006
Last Updated: Mar 27, 2008

Practice Location

Address: 175 S MAIN ST
City: Canton
State: Illinois
ZIP Code: 61520-2670
Phone: (309) 647-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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