Individual
DR. JUNE SHAO WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4966 EL CAMINO REAL STE 111, LOS ALTOS, CA 94022-1406
(650) 224-5497
Mailing address
4966 EL CAMINO REAL STE 111, LOS ALTOS, CA 94022-1406
(650) 968-2389
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A72572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A725720
—
CA
Enumeration date
06/08/2005
Last updated
04/13/2020
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