Individual provider · Type 1 NPI
Ethna McGourty, MD
Primary Care Clinic/Center · Palo Alto, CA
NPI number
1669746673
Active
Practice location
475 Marlowe St
Palo Alto, CA 94301-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | A66144 (CA) |
Primary Care Clinic/Center: Definition to come...
About NPI 1669746673
Ethna McGourty, MD's National Provider Identifier is 1669746673, issued on Mar 8, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Palo Alto, CA. The record was last updated on Mar 8, 2012.