Individual
GARY STEVEN FANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 736-9590
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 736-9590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G45737
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G45737
CA
Other
Enumeration date
01/09/2007
Last updated
04/27/2024
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