Organization
AWAKENMD PC
Active
Other names
AwakenMD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN E BOURKE M.D. (FOUNDER AND MEDICAL DIRECTOR)
(650) 274-6256
Entity
Organization
Contact information
Practice address
95 TOWN AND COUNTRY VILLAGE, PALO ALTO, CA 94301-2341
(650) 251-4722
(650) 421-7494
Mailing address
36 STANFORD SHOPPING CENTER, PALO ALTO, CA 94304-1423
(650) 251-4722
(650) 421-7494
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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