Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHNA MCGOURTY, MD
Active Sole ProprietorDR. ETHNA MCGOURTY, MD is a Primary Care Clinic healthcare provider located in PALO ALTO, California. NPI 1669746673 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · PALO ALTO, CA
Registration Details
- NPI Number
- 1669746673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2012 (14.249891457833 yrs)
- Last Updated
- Mar 8, 2012
- License
-
A66144 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
475 MARLOWE STPALO ALTO, CA, 943012221Browse CA providers · Browse ZIP 94301
- Phone
- 6503262411
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.