Organization
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CARLISLE MD (ASSOCIATE DEAN)
(415) 206-8505
Entity
Organization
Contact information
Practice address
2550 23RD ST BLDG 92ND, SAN FRANCISCO, CA 94110-3504
(415) 206-8812
(415) 647-3733
Mailing address
2550 23RD ST BLDG 92ND, SAN FRANCISCO, CA 94110-3504
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A96934
CA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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