Individual
DR. PHILIP A. BRODEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 DIVISADERO ST, SAN FRANCISCO, CA 94115-3010
(415) 885-7282
(415) 885-7750
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C31828
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C318280
—
CA
Enumeration date
06/11/2006
Last updated
07/22/2008
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