Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | G081861 | CA |
NPI | 1154460947 |
---|---|
Provider Name | Dr. Anna Hopeman Messner |
First Address | Stanford, CA 94305-5739 |
Second Address | Stanford, CA 94305-5739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G818610 | (05) | CA |
E88978 | (02) | CA |