Basic Information
Provider Information
NPI: 1295783694
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILLARD
FirstName: PAULA
MiddleName: J ADAMS
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 PASTEUR DR # HH333
Address2: DEPT OB-GYN MC 5317
City: STANFORD
State: CA
PostalCode: 943055317
CountryCode: US
TelephoneNumber: 6507255986
FaxNumber: 6507377737
Practice Location
Address1: 300 PASTEUR DR # 333
Address2: DEPT OB-GYN MC 5317
City: STANFORD
State: CA
PostalCode: 943052200
CountryCode: US
TelephoneNumber: 6507255986
FaxNumber: 6507237737
Other Information
ProviderEnumerationDate: 05/05/2006
LastUpdateDate: 10/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XG87997CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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