Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 28, 2013
License(s)
20A15815 (CA), 15815 (CA), 20A15815 (CA), 292062 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 300 PASTEUR DR | Stanford, CA 94305-2200 | 650-723-4000 |
| MAILING | 300 PASTEUR DR | Stanford, CA 94305-2200 | 650-723-4000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.