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Organization

STANFORD HOSPITAL AND CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUNO MEDEIROS MD (SUPERVISING PHYSICIAN)
(650) 724-4394
Entity
Organization

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 888-9524
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 888-9524

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
95001605
CA
282N00000X
General Acute Care Hospital
95001605
CA

Other

Enumeration date
07/27/2015
Last updated
07/27/2015
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