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Individual

MICHAEL DEFTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,PH.D.

Contact information

Practice address
2455 39TH AVE, SAN FRANCISCO, CA 94116-2154
(415) 504-7422
Mailing address
2455 39TH AVE, SAN FRANCISCO, CA 94116-2154
(415) 504-7422

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A98387
CA

Other

Enumeration date
09/01/2010
Last updated
09/01/2010
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