| NPI | 1942947171 |
|---|---|
| Doing Business As | STATERA |
| Entity Type | Organization |
| Authorized Contact | COLLEEN NOUD Practice Manager 415-317-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |