Individual
COURTNEY LYNNE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVENUE, SAN FRANCISCO, CA 94110-3518
(628) 206-5753
(628) 206-5818
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(628) 206-8000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A175200
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/10/2018
Last updated
04/01/2022
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