Individual
THOMAS SPENCER STANTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LYNCH CREEK WAY STE A, PETALUMA, CA 94954-2337
(707) 763-0600
(707) 765-1757
Mailing address
110 LYNCH CREEK WAY STE A, PETALUMA, CA 94954-2337
(707) 763-0600
(707) 765-1757
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
G63014
CA
207RH0003X
Hematology & Oncology Physician
Primary
G63014
CA
207RX0202X
Medical Oncology Physician
G63014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G630140
—
CA
Enumeration date
10/16/2006
Last updated
07/17/2013
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