Individual
DR. STEPHEN ALTON FERNBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 THORSEN CT, LOS ALTOS, CA 94024-6630
(650) 941-6514
Mailing address
755 THORSEN CT, LOS ALTOS, CA 94024-6630
(650) 941-6514
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G21756
CA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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