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Organization

STANFORD EMPLOYER HEALTH CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KWI BULOW MD (LEAD PHYSICIAN)
(650) 721-3099
Entity
Organization

Contact information

Practice address
5535 MOREHOUSE DR BLDG S, SUITE 270, SAN DIEGO, CA 92121-1710
(650) 721-3099
(650) 725-2480
Mailing address
211 QUARRY RD, PALO ALTO, CA 94304-1416
(605) 721-3099
(650) 725-2480

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G566674
CA

Other

Enumeration date
03/03/2016
Last updated
03/03/2016
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