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Individual

DR. JEREMIE LAROUCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2550 23RD ST, BUILDING 9, 2ND FLOOR, SAN FRANCISCO, CA 94110-3504
(415) 206-8812
Mailing address
2550 23RD ST, BUILDING 9, 2ND FLOOR, SAN FRANCISCO, CA 94110-3504

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A 138246
CA

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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