Individual
DR. PETER ALEXANDER GOODERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, R209, STANFORD, CA 94305-2200
(650) 725-5562
(650) 723-2815
Mailing address
300 PASTEUR DR, R209, STANFORD, CA 94305-2200
(650) 725-5562
(650) 723-2815
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A115849
CA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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