Individual
JOHN JORDAN STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 WINDSOR DR, STILLWATER, OK 74074-6962
(405) 707-0900
Mailing address
PO BOX 802738, KANSAS CITY, MO 64180-2738
(405) 742-5300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2017018508
MO
Other
Enumeration date
06/12/2017
Last updated
08/09/2022
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