Individual
EDWARD RIVERA MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207L00000X
Anesthesiology Physician
Primary
A72904
CA
207LP3000X
Pediatric Anesthesiology Physician
A72904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A729040
—
CA
Enumeration date
06/09/2006
Last updated
04/11/2024
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