Organization
LUCILE PACKARD CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FISHER MD (CHIEF, DIVISION OF CHILD NEUROLOGY)
(650) 736-0885
Entity
Organization
Contact information
Practice address
730 WELCH RD, NEUROLOGY CC71015, PALO ALTO, CA 94304-1503
(650) 723-0993
Mailing address
730 WELCH RD, NEUROLOGY CC71015, PALO ALTO, CA 94304-1503
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
GC000802
CA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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