Basic Information
Provider Information
NPI: 1659559516
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MULLER
FirstName: ERIC
MiddleName: ANTON
NamePrefix:  
NameSuffix: II
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1804 EMBARCADERO RD
Address2: STE 100
City: PALO ALTO
State: CA
PostalCode: 943033341
CountryCode: US
TelephoneNumber: 6504978000
FaxNumber:  
Practice Location
Address1: 3700 CALIFORNIA ST
Address2: BASEMENT FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 941181618
CountryCode: US
TelephoneNumber: 4156000750
FaxNumber: 4156000755
Other Information
ProviderEnumerationDate: 02/03/2008
LastUpdateDate: 10/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207SG0201XA106489CAY Allopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)

No ID Information.


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