Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MO106576 | MO |
NPI | 1003803164 |
---|---|
Provider Name | Dr. Stephen W Stigers |
First Address | Cape Girardeau, MO 63703-4928 |
Second Address | Cape Girardeau, MO 63703-4928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158090 | BCBS OF MO (01) | MO |
F82333 | (02) | MO |