Provider Demographics
NPI:1356529770
Name:STOHR, BRADLEY ALDEN (MD/PHD)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:ALDEN
Last Name:STOHR
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PATHOLOGY, BOX 0102
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:513 PARNASSUS AVENUE
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0102
Practice Address - Country:US
Practice Address - Phone:415-310-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91342207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology