Individual
MR. STEPHEN WESLEY POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3800 CONCOURS, SUITE 350, ONTARIO, CA 91754
(909) 989-5699
(909) 989-7633
Mailing address
45573 VIA JACA, TEMECULA, CA 92592-1307
(951) 907-7269
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT4372
CA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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