Individual
STAFFORD ROBERT GRADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G47262
CA
2080P0202X
Pediatric Cardiology Physician
Primary
G47262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G472620
—
CA
Enumeration date
02/02/2006
Last updated
04/11/2024
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