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Individual

TODD S ANHALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
129 FREMONT AVE, LOS ALTOS, CA 94022-3956
(650) 917-7711
(650) 917-7712
Mailing address
129 FREMONT AVE, LOS ALTOS, CA 94022-3956
(650) 917-7711
(650) 917-7712

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G53965
CA
207ND0900X
Dermatopathology Physician
G53965
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G53965
CA
207NP0225X
Pediatric Dermatology Physician
G53965
CA
207NS0135X
Procedural Dermatology Physician
G53965
CA

Other

Enumeration date
12/08/2005
Last updated
01/27/2009
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