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Individual

DON B AZCARATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.,A.T.,C

Contact information

Practice address
645 5TH ST, SAN FRANCISCO, CA 94107-1516
(415) 777-5009
(415) 777-5882
Mailing address
645 5TH ST, SAN FRANCISCO, CA 94107-1516
(415) 777-5009
(415) 777-5882

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
OPT220300
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ57908Z
BLUE SHIELD
CA
Enumeration date
11/15/2006
Last updated
07/08/2007
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