Individual
ANTON NIGUSSE BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8426
(628) 206-8942
Mailing address
1001 POTRERO AVE, UCSF BOX 0852-7M8, SAN FRANCSICO, CA 94110-3518
(628) 206-8426
(628) 206-8942
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A125483
CA
Other
Enumeration date
06/10/2008
Last updated
11/02/2022
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