Provider Demographics
NPI:1871816215
Name:HOOPER, STEPHEN LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LEROY
Last Name:HOOPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 ABIGAIL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-5418
Mailing Address - Country:US
Mailing Address - Phone:410-287-5863
Mailing Address - Fax:
Practice Address - Street 1:57 ABIGAIL LN
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-5418
Practice Address - Country:US
Practice Address - Phone:410-287-5863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0005243207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology