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Dr. Stephan Scott Corder, MD
General Practice Physician in Ottawa, Kansas
NPI 1174518526

Stephan Scott Corder is a General Practice Physician based in Ottawa, KS. Stephan Scott Corder practices in Ottawa, KS and has the professional credentials of MD. The NPI Number for Stephan Scott Corder is 1174518526 and holds a License No. 0418093 (Kansas).

The current practice location address for Stephan Scott Corder is 214 E Logan St, Ottawa, KS and can be reached out via phone at 785-242-7773.

Location: 214 E Logan St, Ottawa, KS, 66067-9794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174518526
Provider Name
Stephan Scott Corder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
214 E Logan St, Ottawa, KS, 66067-9794
Phone Number
785-242-7773
Fax Number
Provider Enumeration Date
09/13/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100131720A 05 KS
institution
Provider Business Practice Location Address Details
Address
214 E Logan St
City
Ottawa
State
Kansas
Zip
66067-2013
Phone Number
785-242-7773
Fax Number
person
Provider Business Mailing Address Details
Address
214 E Logan St
City
Ottawa
State
Kansas
Zip
66067-2013
Phone Number
785-242-7773
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0418093 (Kansas)
Definition
Definition to come...
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