Individual
RUSSELL D DEDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 OWENS ST STE 201, SAN FRANCISCO, CA 94158-2334
(415) 353-9400
Mailing address
77 N SAN MATEO DR, SAN MATEO, CA 94401-2889
(650) 342-0854
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A110297
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A110297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528396579
NPI
CA
Enumeration date
12/03/2009
Last updated
05/17/2024
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