Individual
BERNARD W DANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A49855
CA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
A49855
CA
208000000X
Pediatrics Physician
A49855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A498550
—
CA
Enumeration date
06/23/2006
Last updated
03/19/2024
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