Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | G40394 | CA |
NPI | 1598902462 |
---|---|
Provider Name | Dr. Ross E Ziegler |
First Address | Palo Alto, CA 94306-3920 |
Second Address | Palo Alto, CA 94306-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2009 |
Last Update Date | 14/01/2009 |