Individual
DR. SUSAN DIANE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1537
(415) 476-0616
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1537
(415) 476-0616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G41975
CA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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