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Organization
ST. LUKE'S SUTTER EMERGENCY PHYSICIANS
Active
Organization
ST. LUKE'S SUTTER EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL L ISCOVICH MD (GENERAL PARTNER)
(805) 563-3011
Entity
Organization
Contact information
Practice address
3555 CESAR CHAVEZ, SAN FRANCISCO, CA 94110-4403
(415) 641-6625
Mailing address
PO BOX 42557, PHILADELPHIA, PA 19101-2557
(805) 563-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/13/2006
Last updated
07/24/2009
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