Individual
SCOTT JEFFREY STANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, P.M &R, SAN JOSE, CA 95128-2604
(408) 885-2000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A69332
CA
2081P0004X
Spinal Cord Injury Medicine Physician
A69332
CA
Other
Enumeration date
10/24/2006
Last updated
09/12/2007
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