Individual
MR. CHARLES H. CLONIGER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1001 POTRERO AVE # 4J, SFGH URGENT CARE, SAN FRANCISCO, CA 94110-3518
(415) 206-8052
(415) 355-7407
Mailing address
1001 POTRERO AVE # 4J, SFGH URGENT CARE, SAN FRANCISCO, CA 94110-3518
(415) 206-8052
(415) 355-7407
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN351454
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NPF10167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
966937
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
03/23/2007
Last updated
09/11/2025
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