Individual
DR. RAY C STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 PIERCE ST, SUITE 207, SIOUX CITY, IA 51104-3755
(712) 255-8901
(712) 255-9161
Mailing address
1125 PIERCE ST, STE 100, SIOUX CITY, IA 51105-1484
(712) 255-8901
(712) 255-9161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19856
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128470
—
IA
Enumeration date
06/30/2005
Last updated
04/27/2017
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