# DALY CITY PATHOLOGY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548354426
- **Authorized official:** DR. STEPHEN K GERARD M.D. (PRESIDENT)
- **Authorized official phone:** (650) 991-6568

## Contact information

- **Practice address:** 1900 SULLIVAN AVE, DALY CITY, CA 94015
- **Practice address phone:** (650) 991-6587
- **Mailing address:** PO BOX 29471, SAINT LOUIS, MO 63126-7471
- **Mailing address phone:** (888) 843-8475
- **Mailing address fax:** (844) 410-3798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | CLF798 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | CLF798 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/18/2020