Individual
SHIRLEY IRENE STIVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1001 POTRERO AVE, RM 4M39, SAN FRANCISCO, CA 94110-3518
(415) 206-3219
(415) 206-3948
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G87515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G875150
—
CA
Enumeration date
05/20/2006
Last updated
07/08/2007
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