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Organization

ANDREW G. IWACH MD A PROFESSIONAL CORPORATION

Active
Other names
Glaucoma Associates of Northern California
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW IWACH M.D. (OWNER)
(415) 989-2020
Entity
Organization

Contact information

Practice address
55 STEVENSON ST, SAN FRANCISCO, CA 94105-2936
(415) 981-2020
(415) 981-2019
Mailing address
55 STEVENSON ST, SAN FRANCISCO, CA 94105-2936
(415) 981-2020
(415) 981-2019

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G56142
CA
207X00000X
Orthopaedic Surgery Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G561420
CA
Enumeration date
11/06/2006
Last updated
02/26/2014
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