Alan Gregory Soetikno
Alan Gregory Soetikno is a Student in an Organized Health Care Education/Training Program in Stanford, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
300 Pasteur Dr Lane 154Stanford, CA 94305-5133
Phone: (650) 723-6661
Fax: (650) 498-6205
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1740892561 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2020 |
| Last updated in NPPES | March 24, 2026 |
| Certification date | March 24, 2026 |
| Mailing address | 300 Pasteur Dr, Lane 154, Stanford, CA 94305-5133 |
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