Individual
DR. LINDA M REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2357
(415) 353-2669
Mailing address
1635 DIVISADERO ST., SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G47462
CA
2086S0102X
Surgical Critical Care Physician
G47462
CA
2086S0129X
Vascular Surgery Physician
Primary
G47462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G474620
—
CA
Enumeration date
05/08/2006
Last updated
09/11/2008
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