Individual
ERIC KLAAS VAN STAALDUINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
20A18181
CA
2085N0700X
Neuroradiology Physician
20A18181
CA
2085R0202X
Diagnostic Radiology Physician
20A18181
CA
Other
Enumeration date
04/22/2015
Last updated
04/05/2024
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