Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | C55022 | CA |
N | 2086S0120X | Pediatric Surgery | MD428985 | PA |
N | 2086S0120X | Pediatric Surgery | N3036 | TX |
NPI | 1417971151 |
---|---|
Provider Name | Julie Robin Fuchs |
First Address | Stanford, CA 94305 |
Second Address | Palo Alto, CA 94304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 23/05/2017 |