Provider Demographics
NPI:1023036654
Name:ASHFORD, JOHN WESSON JR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WESSON
Last Name:ASHFORD
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA AVENUE
Mailing Address - Street 2:PALO ALTO VA HOSPITAL - 151Y
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-852-3297
Practice Address - Street 1:3801 MIRANDA AVENUE
Practice Address - Street 2:PALO ALTO VA HOSPITAL - 151Y
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-852-3297
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33289282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital