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Individual

GEOFFREY TODD MANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1001 POTRERO AVE, BUILDING 1, ROOM 101, SAN FRANCISCO, CA 94110-3518
(415) 206-4536
(415) 206-3948
Mailing address
1001 POTRERO AVE, BUILDING 1, ROOM 101, SAN FRANCISCO, CA 94110-3518
(415) 206-4536
(415) 206-3948

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A62949
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A629490
CA
01
140007463
RAILROAD MEDICARE
CA
Enumeration date
05/23/2006
Last updated
07/08/2007
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