Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | G37864 | CA |
N | 207R00000X | Internist | G37864 | CA |
N | 111NI0900X | Internist | G37864 | CA |
NPI | 1003942301 |
---|---|
Provider Name | Leland Hanowell |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G378640 | (05) | CA |
A47259 | (02) | CA |