Individual
DOUGLAS RYAN SIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A107296
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
A107296
CA
Other
Enumeration date
10/07/2008
Last updated
04/29/2024
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