NPI
Stanley Gordon Poulos
NPI 1588715015
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2007-01-12
- Last updated
- 2008-02-05
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Specialties
Licenses
- License CA
- g31262
Location
- Practice location
- 350 Bon Air Road, Suite 300
- City
- Greenbrae CA
- Postal code
- 94904
- Phone
- (415) 925-2880
- Fax
- (415) 925-2884
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Plastic Surgeons in Greenbrae, CA. 6 with this primary taxonomy in the public file.
Other NPIs in Greenbrae, CA. 847 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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