Individual provider · Type 1 NPI

Mara Jana Broadhurst, MD

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1861888935 Active

Practice location

300 Pasteur Dr, Lane Building, L235
Stanford, CA 94305-2200

Call (541) 521-1698 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861888935

Mara Jana Broadhurst, MD's National Provider Identifier is 1861888935, issued on Apr 15, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Apr 15, 2015.