Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A114370 | CA |
NPI | 1346541026 |
---|---|
Provider Name | Despina G Contopoulos-Ioannidis |
First Address | Stanford, CA 94305-7702 |
Second Address | Stanford, CA 94305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 15/05/2012 |