Individual
BRUCE STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2626 N CALIFORNIA ST, SUITE G, STOCKTON, CA 95204-5500
(209) 464-9846
(209) 464-4082
Mailing address
2626 N CALIFORNIA ST, SUITE G, STOCKTON, CA 95204-5500
(209) 464-9846
(209) 464-4082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G50331
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G50331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G503310
—
CA
Enumeration date
07/02/2006
Last updated
10/09/2007
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