Individual
STANLEY CHISM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1635 MADRONO AVE, PALO ALTO, CA 94306-1018
(650) 322-6332
Mailing address
1635 MADRONO AVE, PALO ALTO, CA 94306-1018
(650) 322-6332
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C30717
CA
Other
Enumeration date
05/30/2009
Last updated
05/30/2009
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