Organization
PENINSULA DERMATOLOGIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C. STARR M.D. (CEO)
(650) 326-7222
Entity
Organization
Contact information
Practice address
321 MIDDLEFIELD RD # 245, MENLO PARK, CA 94025-3564
(650) 326-7222
(650) 326-7332
Mailing address
321 MIDDLEFIELD RD # 245, MENLO PARK, CA 94025-3564
(650) 326-7222
(650) 326-7332
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
12/29/2008
Last updated
04/10/2009
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