Individual
STEPHEN LOOS
Active
Individual
STEPHEN LOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10110
NV
2085R0202X
Diagnostic Radiology Physician
G87406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013225
—
NV
01
—
36291
MEDICARE PTAN
NV
01
—
CK655Z
MEDICARE PTAN
CA
01
—
FS4913489
MEDI-CAL
CA
01
—
P00060925
RAILROAD
NV
Enumeration date
07/06/2006
Last updated
12/18/2017
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