| Doctor Name: | DR. JUNE SHAO WITHERS |
| NPI Number: | 1932103843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A72572 |
| Business Practice Address: | 495 Castro St # 102 Mountain View, CA - 940412007 |
| Business Phone Number: | 6509682389 |
| Business Fax Number: | 6509684278 |
| Mailing Address: | 495 Castro St, # 102 MOUNTAIN VIEW |
| State: | CA |
| Postal Code: | 940412007 |
| Phone Number: | 6509682389 |
| Fax Number: | 6509684278 |
| NPI Enumeration Date: | 06/08/2005 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A72572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |