Organization
ADRIENNE MCGRAEL SOUDERS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE L MCGRAEL SOUDERS MD (OWNER)
(650) 375-7706
Entity
Organization
Contact information
Practice address
1 BAYWOOD AVE, STE 5, SAN MATEO, CA 94402-1537
(650) 375-7706
(650) 375-7899
Mailing address
1 BAYWOOD AVE, STE 5, SAN MATEO, CA 94402-1537
(650) 375-7706
(650) 375-7899
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G048839
CA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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