Individual
DR. STEPHAN SCOTT CORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 E LOGAN ST, OTTAWA, KS 66067-2013
(785) 242-7773
Mailing address
619 N BENNETT RD, OTTAWA, KS 66067-9794
(785) 242-7773
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0418093
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131720A
—
KS
Enumeration date
09/13/2005
Last updated
08/02/2024
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