Greg Stivland is a Pediatrics in Durham, North Carolina. Greg Stivland practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Greg Stivland is 1811025505. The last update date is 2007-07-09.
Greg Stivland's current location address is 3514 University Dr Ste 8, Durham, North Carolina. You can contact this provider via phone number 9194937002 and fax number 9194031407. The mailing address for Greg Stivland is 3514 University Dr Ste 8, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg Stivland |
|---|---|
| Address | 3514 University Dr Ste 8, Durham, North Carolina |
| Phone Number | 9194937002 |
| Fax Number | 9194031407 |
| Sole Proprietor | Y |
| Credentials | OTL |
NPI Number Detail
| NPI Number | 1811025505 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3514 University Dr Ste 8 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277072659 |
| Phone Number | 9194937002 |
| Fax Number | 9194031407 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1757 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7379398 | NC | -- | |
| 79398 | NC | BCBS OF NC |
Post Comment/ Review Below
What is the Greg Stivland's 1811025505?
The Greg Stivland's NPI (National Provider Identifier) Number is 1811025505. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Greg Stivland is physically located?
The Greg Stivland is situated at the following address: 3514 University Dr Ste 8, Durham, NC 277072659.
What is the Greg Stivland's specialty and taxonomy code?
The Greg Stivland's specialty is Pediatrics, and the corresponding taxonomy code is 225Xp0200X.
On what date did the Greg Stivland receive the assignment of its 1811025505 from the Centers for Medicare & Medicaid Services?
The Greg Stivland was issued its 1811025505 by the Centers for Medicare & Medicaid Services on 2007-03-02.
As of what date was the information regarding Greg Stivland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Greg Stivland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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