Individual
DOUGLAS W BLAYNEY
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
1804 EMBARCADERO RD, STE 100, PALO ALTO, CA 94303-3341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081308
MI
207RX0202X
Medical Oncology Physician
4301081308
MI
207RX0202X
Medical Oncology Physician
Primary
G37829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4520976
—
MI
Enumeration date
10/31/2006
Last updated
06/07/2016
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