Organization
SAN FRANCISCO DERMATOPATHOLOGY INSTITUTE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W OLIVER (DIRECTOR)
(415) 413-6100
Entity
Organization
Contact information
Practice address
1618 SULLIVAN AVE., SUITE 105, DALY CITY, CA 94015-1968
(650) 756-5500
Mailing address
1618 SULLIVAN AVE., SUITE 105, DALY CITY, CA 94015-1968
(650) 756-5500
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00345457
CA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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