Individual
ARI U. ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(415) 597-8011
(415) 597-8004
Mailing address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(415) 597-8011
(415) 597-8004
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
A80762
CA
2084P0800X
Psychiatry Physician
Primary
A80762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356361885
NPI#
CA
01
—
A80762
MEDICAL LICENSE #
CA
Enumeration date
07/20/2006
Last updated
11/13/2008
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