Provider First Line Business Practice Location Address:
300 PASTEUR DR
Provider Second Line Business Practice Location Address:
SUMC - PEDS PHYSICIAN BILLING MC: 5530
Provider Business Practice Location Address City Name:
STANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94305-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-498-7391
Provider Business Practice Location Address Fax Number:
650-725-7888
Provider Enumeration Date:
01/07/2010