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Organization

UNIVERSITY OF CALIFORNIA SAN FRANCISCO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE MUDGE-GROUT NP (PNP PEDITATRIC TRANSPLANT CNV)
(415) 476-5892
Entity
Organization

Contact information

Practice address
PEDIATRIC TRANSPLANT MU 4 EAST BOX 0136, 300 PARNASSUS, SAN FRANCISCO, CA 94143-0136
(415) 476-5892
(415) 476-1343
Mailing address
PEDIATRIC TX MU 4 EAST BOX 0146 UCSF, SAN FRANCISCO, CA 94143-0001
(415) 476-5892
(415) 476-1343

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
271565
CA

Other

Enumeration date
07/20/2007
Last updated
07/20/2007
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