Individual
DENISE M. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 498-7103
Mailing address
2680 HANOVER ST, PALO ALTO, CA 94304-1117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PA150832
—
CA
Enumeration date
02/27/2007
Last updated
07/08/2007
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