Organization
ATHERTON NEUROLOGY MEDICAL OFFICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBERT WILSON MD (PRESIDENT)
(650) 324-0700
Entity
Organization
Contact information
Practice address
695 OAK GROVE AVE, SUITE 310, MENLO PARK, CA 94025-4351
(650) 324-0700
Mailing address
695 OAK GROVE AVE, SUITE 301, MENLO PARK, CA 94025-4351
(650) 324-0700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/23/2006
Last updated
10/20/2010
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