Individual
MR. BOBBY ANTALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020764
CA
363LF0000X
Family Nurse Practitioner
95020764
CA
Other
Enumeration date
05/06/2022
Last updated
07/08/2022
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