| NPI | 1104635515 |
|---|---|
| Other Name | DR ALA STANFORD CENTER FOR HEALTH EQUITY - NE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANTOINETTE TAYLOR Director Of Operations 484-270-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |