Organization
STANFORD UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMIE HENDERSON M.D. (ASSOCIATE PROFESSOR OF NEUROSURGERY)
(650) 723-5574
Entity
Organization
Contact information
Practice address
300 PASTEUR DR, ROOM A301, M/C 5325, STANFORD, CA 94305-2200
(650) 725-2184
(650) 723-7434
Mailing address
5065 NEW TRIER AVE, SAN JOSE, CA 95136-2721
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA 20895
CA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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