The Palo Alto Diet, Inc.

NPI #1700612611 in Lexington, Kentucky

Provider Information

NPI Number: 1700612611
Entity Type: Organization
Organization Name: The Palo Alto Diet, Inc.
Primary Specialty: Anesthesiology
Enumeration Date: Sep 9, 2024
Last Updated: Sep 9, 2024

Practice Location

Address: 3195 BEAUMONT CENTRE CIR STE 120
City: Lexington
State: Kentucky
ZIP Code: 40513-2009
Phone: (650) 704-9068

Authorized Official

Name: CLARENCE MIAO, MD
Title: OWNER
Phone: (650) 704-9068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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