Individual
BRUNO PASSEBON SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A121981
CA
2085P0229X
Pediatric Radiology Physician
Primary
A121981
CA
2085R0202X
Diagnostic Radiology Physician
A121981
CA
Other
Enumeration date
06/19/2009
Last updated
04/07/2024
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