Individual
ELIZABETH L STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
Mailing address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 284-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD175865
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712123
—
OR
Enumeration date
06/03/2013
Last updated
06/09/2021
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