Healthcare Provider Details

I. General information

NPI: 1043796188
Provider Name (Legal Business Name): ERIK WILLIAM NOHR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 07/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DRIVE ROOM L235, MC:5324
STANFORD CA
94305
US

IV. Provider business mailing address

300 PASTEUR DRIVE ROOM L235, MC:5324
STANFORD CA
94305
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5252
  • Fax:
Mailing address:
  • Phone: 650-723-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License NumberA156735
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: