Individual
DR. EVERETT JAMES MODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(336) 832-7272
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209574
NC
2085R0001X
Radiation Oncology Physician
Primary
A143827
CA
Other
Enumeration date
05/04/2015
Last updated
07/21/2020
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