| NPI | 1194481275 |
|---|---|
| Other Name | ALA STANFORD MD SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANTOINETTE TAYLOR Manager 484-270-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-06-21 |