Basic Information
| Provider Information | |||||||||
| NPI: | 1861657751 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRIEST | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | RUSH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 750 WELCH RD | ||||||||
| Address2: | SUITE 325 | ||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507216849 | ||||||||
| FaxNumber: | 6507244922 | ||||||||
| Practice Location | |||||||||
| Address1: | 750 WELCH RD | ||||||||
| Address2: | SUITE 325 | ||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507216849 | ||||||||
| FaxNumber: | 6507244922 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2008 | ||||||||
| LastUpdateDate: | 12/01/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0202X | A117086 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | 208000000X | A117086 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.