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Individual

MICHAEL L GORIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A25679
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A256790
CA
01
300107006
RAILROAD MEDICARE
CA
Enumeration date
06/21/2006
Last updated
01/04/2010
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