Individual
SUSAN KATHRYN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 VAN NESS AVE FL 3, SAN FRANCISCO, CA 94109-6919
(415) 600-0800
(415) 447-6335
Mailing address
P.O. BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G56860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G568600
—
CA
01
—
300134152
RAILROAD MEDICARE
CA
Enumeration date
06/14/2006
Last updated
03/19/2021
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