Individual
MR. RYAN WRIGHT DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PASTEUR DR, H3652 MC 5642, STANFORD, CA 94305-2200
(650) 736-9081
(650) 736-7734
Mailing address
300 PASTEUR DR, H3652 MC 5642, STANFORD, CA 94305-2200
(650) 736-9081
(650) 736-7734
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
16794
CA
Other
Enumeration date
09/08/2010
Last updated
09/12/2016
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