Individual
DR. SEAN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115
(415) 353-7880
Mailing address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 353-7880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
LP03737
RI
208000000X
Pediatrics Physician
264533
MA
Other
Enumeration date
07/01/2012
Last updated
06/24/2019
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