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NPI Code Detail

MEDICARE: ROBERT DEWOLFE MAIR

MEDICARE: ROBERT DEWOLFE MAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianA127016CA
2207R00000XInternal Medicine PhysicianA127016CA

General Provider Information

NPI Number : 1174899249
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DEWOLFE MAIR
Provider Business Mailing Address
First Line : 3801 MIRANDA AVE
Second Line : B2-140
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number : 650-493-5000
Fax Number : 650-849-0213
Provider Business Practice Location Address
First Line : 3801 MIRANDA AVE
Second Line : B2-140
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number : 650-493-5000
Fax Number : 650-849-0213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2012
Last Update Date : 05/18/2026

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