Provider Demographics
NPI:1710033071
Name:LADD, AMY L (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:LADD
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:770 WELCH RD
Mailing Address - Street 2:SUITE 400 MC 5775
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1511
Mailing Address - Country:US
Mailing Address - Phone:650-723-3731
Mailing Address - Fax:650-723-6786
Practice Address - Street 1:1000 WELCH RD
Practice Address - Street 2:SUITE 100 MC 5357
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1811
Practice Address - Country:US
Practice Address - Phone:650-723-3731
Practice Address - Fax:650-723-6786
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG68666207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD33739Medicare UPIN