Awakenmd | |
95 Town And Country Village Palo Alto CA 94301-2341 | |
(650) 251-4722 | |
(650) 421-7494 |
Full Name | Awakenmd |
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Speciality | General Practice |
Location | 95 Town And Country Village, Palo Alto, California |
Authorized Official Name and Position | Sean E Bourke (FOUNDER AND MEDICAL DIRECTOR) |
Authorized Official Contact | 6502746256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Awakenmd 36 Stanford Shopping Center Palo Alto CA 94304-1423 Ph: (650) 251-4722 | Awakenmd 95 Town And Country Village Palo Alto CA 94301-2341 Ph: (650) 251-4722 |
NPI Number | 1922458439 |
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Provider Enumeration Date | 06/15/2016 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
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1922458439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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