Individual
DALE KENNETH JAMISON
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
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A166971
CA
2085N0904X
Nuclear Radiology Physician
A166971
CA
2085R0202X
Diagnostic Radiology Physician
A166971
CA
2085R0202X
Diagnostic Radiology Physician
R75875
AZ
Other
Enumeration date
03/30/2015
Last updated
04/09/2024
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