Provider Demographics
NPI:1619137064
Name:FRONK, JOSHUA C (DO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:C
Last Name:FRONK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1215 WELCH RD
Mailing Address - Street 2:MODULAR H MC5408
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5102
Mailing Address - Country:US
Mailing Address - Phone:650-723-4000
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:ROOM HC005 MC 5277
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-724-0385
Practice Address - Fax:650-497-7056
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11771207Q00000X
CA20A 11771207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine