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Organization

STANFORD HEALTH CARE

Active
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Organization

STANFORD HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CONNOR (CFO)
(650) 725-1074
Entity
Organization

Contact information

Practice address
1133 E STANLEY BLVD, SUITE 111, LIVERMORE, CA 94550-4200
(925) 373-4601
(925) 373-4611
Mailing address
1804 EMBARCADERO RD, SUITE 100, PALO ALTO, CA 94303-3341
(650) 498-5793

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
070000662
CA

Other

Enumeration date
04/10/2017
Last updated
04/10/2017
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