IndividualActive
Fordyce Stivers, MD
NPI 1992771216 · Otolaryngology Physician · Canton, IL
Provider details
- NPI number
- 1992771216
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2005013768 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
175 S Main St
Canton, IL 61520-2670
Phone: (309) 647-0201
Fax: (309) 649-5302
Approximate (ZIP-level) locationGet directions
Mailing address
175 S Main St
Canton, IL 61520-2670
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2008-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.