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Individual

GEN SHINOZAKI

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
2084P0015X
Psychosomatic Medicine Physician
C171643
CA
2084P0800X
Psychiatry Physician
Primary
C171643
CA
2084P0800X
Psychiatry Physician
MD-41376
IA

Other

Enumeration date
02/14/2007
Last updated
04/30/2024
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