Individual
ROBERT SCOTT HEIDERSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 498-7103
Mailing address
2680 HANOVER ST, PALO ALTO, CA 94304-1117
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
G83682
CA
Other
Enumeration date
07/27/2006
Last updated
09/11/2007
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