SearchIllinois207Y00000X

Fordyce Stivers, MD

NPI 1992771216 · on the registry since 2006

Practice

Address
175 S Main St
Canton, IL 61520
Phone
(309) 647-0201
Fax
(309) 649-5302
Organisation at this address
Blessman Pharmacy
Graham Services Corporation
B. Wright Back Chiropractic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-27

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