Individual
STANLEY GORDON POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 BON AIR ROAD, SUITE 300, GREENBRAE, CA 94904
(415) 925-2880
(415) 925-2884
Mailing address
350 BON AIR ROAD, SUITE 300, GREENBRAE, CA 94904
(415) 925-2880
(415) 925-2884
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G31262
CA
Other
Enumeration date
01/12/2007
Last updated
02/05/2008
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