Provider Demographics
NPI:1518912526
Name:STOOPS, PETER (DO)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:STOOPS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12370 HESPERIA RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7719
Mailing Address - Country:US
Mailing Address - Phone:760-245-4747
Mailing Address - Fax:760-269-1293
Practice Address - Street 1:3936 PHELAN RD
Practice Address - Street 2:SUITE F1
Practice Address - City:PHELAN
Practice Address - State:CA
Practice Address - Zip Code:92371-4141
Practice Address - Country:US
Practice Address - Phone:760-868-6622
Practice Address - Fax:760-868-2505
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7321207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine