Organization
STANFORD HEALTH CARE
Active
Other names
SHC RADIATION ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CONNOR (CFO)
(650) 725-1074
Entity
Organization
Contact information
Practice address
5725 W LAS POSITAS BLVD, SUITE 100B, PLEASANTON, CA 94588-4054
(650) 723-4000
Mailing address
1804 EMBARCADERO RD, SUITE 100, PALO ALTO, CA 94303-3341
(650) 498-5710
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
070000662
CA
2085R0202X
Diagnostic Radiology Physician
070000662
CA
282N00000X
General Acute Care Hospital
070000662
CA
Other
Enumeration date
11/30/2016
Last updated
03/09/2017
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