Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 14658 | CA |
NPI | 1013277045 |
---|---|
Provider Name | Dr. Stephen Erik Hemperly |
First Address | Henderson, NV 89074-7759 |
Second Address | San Diego, CA 92103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2012 |
Last Update Date | 20/08/2018 |