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Individual
DR. STEPHEN STIVERS
Active
Individual
DR. STEPHEN STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204311
BLUE CROSS BLUE SHIELD ID
KY
01
—
137000
HEALTHLINK PROVIDER ID
KY
01
—
62186125242003A001
WPS TRICARE FOR LIFE
KY
01
—
KY0057841
TRICARE NORTH PROVIDER ID
KY
Enumeration date
02/09/2007
Last updated
07/08/2007
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