Individual
GWEN JILL SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5815 3RD ST, SAN FRANCISCO, CA 94124-3101
(415) 822-7500
Mailing address
5815 3RD ST, SAN FRANCISCO, CA 94124-3101
(415) 822-7500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A63260
CA
Other
Enumeration date
12/05/2007
Last updated
01/07/2015
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