Individual
ABIGAIL PHILLIPS EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, M987 - C/O AMY FORSETH, SAN FRANCISCO, CA 94143-0119
(415) 476-1528
Mailing address
990 ANZA ST, SAN FRANCISCO, CA 94118-4257
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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