Individual
DR. AMIT ETKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
401 QUARRY ROAD, STANFORD, CA 94305
(650) 723-6661
Mailing address
401 QUARRY ROAD, STANFORD, CA 94305
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A101289
CA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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