Individual
DR. RICHARD J. BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 DIVISADERO ST, SAN FRANCISCO, CA 94115-3010
(415) 885-7898
(415) 885-7829
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
G31972
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G31972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G3197200
—
CA
Enumeration date
04/17/2006
Last updated
07/21/2008
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