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Organization
PACIFIC FAMILY PRACTICE MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization
PACIFIC FAMILY PRACTICE MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E ROTH M.D. (PRESIDENT)
(415) 876-5762
Entity
Organization
Contact information
Practice address
1 SHRADER ST, 578, SAN FRANCISCO, CA 94117-1016
(415) 876-5762
(415) 876-4538
Mailing address
1 SHRADER ST, 578, SAN FRANCISCO, CA 94117-1016
(415) 876-5762
(415) 876-4538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
02/23/2012
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