Individual
THOMAS J MONTINE
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
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
G143507
CA
207ZN0500X
Neuropathology Physician
MD00041243
WA
207ZP0101X
Anatomic Pathology Physician
G143507
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G143507
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00041243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231594
L&I
WA
01
—
220032668
RAILROAD MEDICARE
WA
01
—
294490
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8365660
—
WA
01
—
G143507
MEDICAL BOARD CERTIFICATE NUMBER
CA
Enumeration date
01/03/2007
Last updated
03/14/2024
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