Individual
MR. SCOTT ROBERT STOCKHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47950C DUNE PALMS RD, LA QUINTA, CA 92253-4000
(760) 238-9720
Mailing address
47950C DUNE PALMS RD, LA QUINTA, CA 92253-4000
(760) 238-9720
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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