Provider First Line Business Practice Location Address:
401 QUARRY RD
Provider Second Line Business Practice Location Address:
STANFORD PSYCHIATRY BEHAVIORAL MEDICINE
Provider Business Practice Location Address City Name:
PALO ALTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94304-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-723-2196
Provider Business Practice Location Address Fax Number:
650-725-9807
Provider Enumeration Date:
12/22/2006