Individual
JEROME YESAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 852-3287
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 852-3287
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
G29976
CA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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