NPI 1770619926

C. Garrison Fathman, MD

Practitioner Allergy & Immunology Physician Stanford, CA

Practice location

Address: 300 Pasteur Dr Ccsr 2225, Stanford, CA 94305-2200
Phone: (650) 851-5866
Mailing address: 177 Grove Dr, Portola Valley, CA 94028-7638

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence C33057 (CA)

Other Allergy & Immunology providers in California →

Registry record

NPI: 1770619926
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2007
Record last updated: 4 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.