Provider Demographics
NPI:1427158906
Name:STOOPS, STEPHEN L (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:STOOPS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:250 NE MULBERRY ST
Mailing Address - Street 2:SJS MEDICAL MANAGEMENT, SUITE 202
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-4533
Mailing Address - Country:US
Mailing Address - Phone:816-389-4130
Mailing Address - Fax:816-389-4140
Practice Address - Street 1:250 NE MULBERRY ST
Practice Address - Street 2:SJS MEDICAL MANAGEMENT, SUITE 202
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4533
Practice Address - Country:US
Practice Address - Phone:816-389-4130
Practice Address - Fax:816-389-4140
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2008-04-17
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Provider Licenses
StateLicense IDTaxonomies
MOR5G29207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOJ116818Medicare PIN
MOC51018Medicare UPIN
MOS556818Medicare PIN
MOP00282891Medicare PIN