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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