Individual
DR. RUSSELL DAVID STANTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 WEBSTER ST, SUITE 500, OAKLAND, CA 94609-3117
(510) 465-6600
(510) 839-0806
Mailing address
3300 WEBSTER ST, SUITE 500, OAKLAND, CA 94609-3117
(510) 465-6600
(510) 839-0806
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A42983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A429830
—
CA
Enumeration date
09/28/2006
Last updated
07/09/2007
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