Individual
PHILLIP L. STIVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Mailing address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
1027875
IN
207XX0801X
Orthopaedic Trauma Physician
1027875
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108312
ANTHEM
IN
01
—
135422
HEALTHLINK
IN
Enumeration date
07/07/2005
Last updated
09/11/2025
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