Individual
CHARLES BRADLEY HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 POTRERO AVE, BLDG 80 WARD 84, SAN FRANCISCO, CA 94110-2859
(415) 476-4082
(415) 476-6953
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A71109
CA
207RI0200X
Infectious Disease Physician
A71109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A711090
—
CA
Enumeration date
08/25/2006
Last updated
12/15/2021
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