Organization
DALY CITY PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN K GERARD M.D. (PRESIDENT)
(650) 991-6568
Entity
Organization
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015
(650) 991-6587
Mailing address
PO BOX 29471, SAINT LOUIS, MO 63126-7471
(888) 843-8475
(844) 410-3798
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
CLF798
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CLF798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0010990
—
CA
Enumeration date
10/03/2006
Last updated
03/18/2020
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