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1972689156
STANFORD MEDICAL CENTER
STANFORD, CA
NPI
1972689156
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Entity Type
Organization
Authorized Contact
THERESA L PASQUINELLI
Provider Enrollment COO Rdinator
650-498-5710
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-10-31
Last Update Date
2007-10-03
Business Address
STANFORD MEDICAL CENTER
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-498-5710
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Mailing Address
STANFORD MEDICAL CENTER
2680 HANOVER ST
PALO ALTO, CA 94304-1117
Phone number:
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