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Individual

CHARLES ANTHONY MCINTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
4150 CLEMENT ST # 121, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
(415) 750-6991
Mailing address
4150 CLEMENT ST # 121, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
(415) 750-6991

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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