Organization
VETERANS AFFAIRS PALO ALTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RAY RENFRO RN (NURSE MANAGER/CLINICAL COORDINATOR)
(650) 493-5000
Entity
Organization
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
34495 SHENANDOAH PL, FREMONT, CA 94555-3306
(650) 493-5000
(650) 849-0505
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
504790
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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