Individual
DR. JAMES RUSSELL TYSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS BS, FRCS(ORL-HNS)
Contact information
Practice address
801 WELCH RD, 2ND FLOOR, STANFORD, CA 94305-5739
(650) 725-5968
(650) 725-8502
Mailing address
801 WELCH RD, 2ND FLOOR, STANFORD, CA 94305-5739
(650) 725-5968
(650) 725-8502
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F5667
CA
Other
Enumeration date
09/01/2011
Last updated
09/15/2011
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