Provider First Line Business Practice Location Address:
701 WELCH RD BLDG C
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY AND EMERGENCY 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:
94304-1713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-723-6576
Provider Business Practice Location Address Fax Number:
650-723-0121
Provider Enumeration Date:
01/31/2007