Organization
VA PALO ALTO HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT MONTGOMERY (ASSISTANT CHIEF OF AUDIOLOGY)
(650) 493-5000
Entity
Organization
Contact information
Practice address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 363-3000
Mailing address
2521 211TH AVE E, LAKE TAPPS, WA 98391-9054
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
3033
CA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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