Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | G66387 | CA |
NPI | 1073600441 |
---|---|
Provider Name | Dr. Steven Edward Coutre |
First Address | Palo Alto, CA 94304-2205 |
Second Address | Palo Alto, CA 94304-2205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 06/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G663870 | (05) | CA |
F15507 | (02) | CA |