Provider First Line Business Practice Location Address:
401 QUARRY ROAD
Provider Second Line Business Practice Location Address:
STANFORD CHILD AND ADOLESCENT PSYCHIATRY
Provider Business Practice Location Address City Name:
STANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-723-5511
Provider Business Practice Location Address Fax Number:
650-724-7389
Provider Enumeration Date:
03/08/2007