Individual
JOHN RAY TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2916
Mailing address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2916
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
49308
AZ
208200000X
Plastic Surgery Physician
Primary
A110607
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
49308
AZ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
49308
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
49308
AZ
Other
Enumeration date
06/19/2008
Last updated
11/03/2022
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