# JOSEPH MICHAEL STURDIVANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053514455
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 12270A | WY | — |
| 208M00000X | Hospitalist Physician | 342157 | LA | — |
| 208M00000X | Hospitalist Physician | 48038 | TN | Yes |
| 208M00000X | Hospitalist Physician | E-7314 | AR | — |
| 208M00000X | Hospitalist Physician | M-17195 | ID | — |
| 208M00000X | Hospitalist Physician | TP835 | KY | — |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 12/30/2024