Individual
DR. ANNIE JOAN DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 DWIGHT WAY, INSIDE ALTA BATES / HERRICK, BERKELEY, CA 94704-2608
(510) 981-4100
Mailing address
2344 6TH STREET, ATTENTION: CREDENTIALING DEPT., BERKELEY, CA 94710
(510) 981-4100
(510) 553-2169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A117786
CA
Other
Enumeration date
09/16/2011
Last updated
12/27/2012
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