Organization
PETER J PANAGOTACOS, MD A MEDICAL CORPORATION
Active
Organization
PETER J PANAGOTACOS, MD A MEDICAL CORPORATION
Active
Other names
Dermatology Center of San Francisco
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN PANAGOTACOS MD (PRESIDENT)
(415) 922-3344
Entity
Organization
Contact information
Practice address
2001 UNION STREET, SUITE #520, SAN FRANCISCO, CA 94123-4110
(415) 922-3344
(415) 921-7759
Mailing address
2001 UNION STREET, SUITE #520, SAN FRANCISCO, CA 94123-4110
(415) 922-3344
(415) 921-7759
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ53573Z
ANTHEM
CA
Enumeration date
11/08/2006
Last updated
04/28/2010
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