Individual
JAMES WILLIAM TETRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(650) 723-4000
(650) 497-8000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 498-5840
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G28154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G28154
MED LICENSE
CA
Enumeration date
07/18/2006
Last updated
04/30/2015
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